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TARA B. HENDERSON PT
NPI 1396712949
Physical Therapist - Orthopedic in Marietta, GA

Active since March 02, 2006
61 WHITCHER ST NE, SUITE 1150, MARIETTA, GA 30060(678) 594-4250(770) 423-2166 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tara B. Henderson Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA B. HENDERSON PT (NPI 1396712949) is an individual orthopedic provider in Marietta, Georgia, licensed in Georgia (PT008617) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1396712949
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameTARA B. HENDERSONCredential: PT
Location Address61 WHITCHER ST NE, SUITE 1150Marietta, GA 30060-1176
Mailing Address61 Whitcher St Ne, Suite 1150Marietta, GA 30060-1176 · (678) 594-4250 · Fax (770) 423-2166
Phone(678) 594-4250
Fax(770) 423-2166
Sole ProprietorNo
Enumeration DateMarch 2, 2006
Last NPPES UpdateJanuary 25, 2012
✔ NPI 1396712949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in GA · PT008617
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
61 WHITCHER ST NE, Marietta, GA 30060
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Other Names 1

Professional Name (2)Tara M. Buch Pt

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara B. Henderson Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tara Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Resurgens, LLC
9.1 mi
Orthopaedic Surgery
4441 ATLANTA RD SE STE 207
Smyrna, GA 30080
  • Reassigned Medicare billing, Georgia enrollment
  • 223 clinicians in this Medicare group
NPI 1821511676 (770) 423-2180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHILDREN'S CARRDIOVASCULAR MEDICINE P.C
Pediatrics (Pediatric Cardiology)
61 WHITCHER ST NE
MARIETTA, GA 30060
Cobb County (404) 943-0289
COBB HYPERBARIC MEDICINE, INC
Preventive Medicine (Undersea and Hyperbaric Medicine)
61 WHITCHER ST NE, SUITE 2150
MARIETTA, GA 30060
Cobb County (770) 422-4268
MARIANNE TARYLA MD
Emergency Medicine
61 WHITCHER ST NE, SUITE 2150
MARIETTA, GA 30060
Cobb County (770) 422-4268
DR. RICHARD W COHEN M.D.
Orthopaedic Surgery
61 WHITCHER ST NE, SUITE 1100
MARIETTA, GA 30060
Cobb County (770) 422-3290
MARINA SHIKHRIS WILDER MD
Preventive Medicine (Undersea and Hyperbaric Medicine)
61 WHITCHER ST NE, SUITE 2150
MARIETTA, GA 30060
Cobb County (770) 422-4268
GEORGIANA MASSAD PA-C
Physician Assistant
61 WHITCHER ST NE, SUITE 2100
MARIETTA, GA 30060
Cobb County (770) 423-0595
DAMON ROBERT DENZIN PHYSICIAN ASSISTANT
Physician Assistant
61 WHITCHER ST NE, SUITE 4100
MARIETTA, GA 30060
Cobb County (770) 590-4180
DR. WILLIAM JOHN BENEDICT JR. M.D.
Neurological Surgery
61 WHITCHER ST NE, SUITE 3110 KENNESTONE PHYSICIAN'S CENTER
MARIETTA, GA 30060
Cobb County (770) 422-2326

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Henderson's NPI number?

The NPI number for Tara Henderson is 1396712949. It was assigned to this individual provider in the NPPES registry on March 2, 2006. The provider is also known as Tara M. Buch Pt.

Where is Tara Henderson located?

Tara Henderson practices at 61 Whitcher St NE Suite 1150, Marietta, GA 30060. The listed phone number is (678) 594-4250.

What is Tara Henderson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Tara Henderson enrolled in Medicare?

Yes. Tara Henderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Henderson reassigns Medicare benefits to Resurgens, LLC (Smyrna, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tara Henderson was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.