Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720353246 Individual Practitioner Female Practitioner

Tara B Bradley , MS, CCC-SLP

Speech-Language Pathologist • Pensacola, FL

Professional Overview & Biography Verified Profile Summary

Tara Bradley, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Pensacola, FL. Practice services are available at 5045 CARPENTER CREEK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5045 Carpenter Creek Dr

Pensacola, FL 325032521

Telephone 8504164681
Fax 8504167776
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Pensacola, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
117 Specialists

Practicing in Pensacola, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AL 3291

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Asha Certification
12140764 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Avianna Shull , 15--

Behavior Analyst

NPI 1083061113

15

Lacey Woods , OT

Occupational Therapist

NPI 1114405149

Occupational Therapist

Francisca Welch , RBT

Behavior Analyst

NPI 1225586084

Registered Behavior Technician

Shanay Springs , RBT

Behavior Technician

NPI 1235673500

Registered Behavior Technician

Juliana Moraes , BCBA

Behavior Analyst

NPI 1265836969

Board Certified Behavior Analyst

NPI 1396217204

RBT18

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 06, 2020

Registered at 5045 CARPENTER CREEK DR, PENSACOLA, FL 325032521 (Tel: 8504164681)

📍
Updated Business Mailing Address October 06, 2020

Registered at 5045 CARPENTER CREEK DR, PENSACOLA, FL 325032521 (Tel: 8504164681)

📍
Updated Practice Location February 26, 2020

Registered at 5154 BAYOU BLVD, PENSACOLA, FL 325032102 (Tel: 8504167548)

📍
Updated Business Mailing Address February 26, 2020

Registered at 5154 BAYOU BLVD, PENSACOLA, FL 325032102 (Tel: 8504167548)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2020

Developmental Therapist

NPI Profile Active July 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2016

Registered at 8909 RAND AVE, DAPHNE, AL 365269126 (Tel: 2512101632)

📍
Updated Business Mailing Address July 11, 2016

Registered at 8909 RAND AVE, DAPHNE, AL 365269126 (Tel: 2512101632)

👤
Provider Name / Credentials Updated July 11, 2016

Recorded as TARA BRADLEY, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2016

Speech-Language Pathologist (License #3291 in AL)

🟢
Initial NPI Registration & Enumeration March 16, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720353246
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2012
Last Update: October 06, 2020
Sole Proprietor: No

Mailing Address

5045 Carpenter Creek Dr

Pensacola, FL 325032521

Phone: 8504164681

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.