Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043563505 Individual Practitioner Female Practitioner

Tara Starr Phelps , MA, CCC-SLP

Speech-Language Pathologist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Tara Phelps, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fort Wayne, IN. Practice services are available at 3110 E COLISEUM BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3110 E Coliseum Blvd

Fort Wayne, IN 468051554

Telephone 2604086732
Fax 3174495783
Associated Practice Facility / Clinic
🏢 Summit Bhc Ft Wayne Llc Facility NPI 1003635418

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
219 Specialists

Practicing in Fort Wayne, IN (3038 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: 2022-09-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 22004392A

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Stacy Nawrocki

Speech-Language Pathologist

NPI 1003480310
Grace Nuesca

Physical Therapist

NPI 1326162017
Cecile Barbon-Quirante , OTR

Occupational Therapist

NPI 1376833095

Occupational Therapist Registered

Charlotte Martin

Occupational Therapist

NPI 1457013922
Dr. Bena Lee Gates , DPT

Physical Therapist

NPI 1700287505

Doctor of Physical Therapy

Helene Highbarger , OT

Occupational Therapist

NPI 1780865584

Occupational Therapist

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 09, 2022

Registered at 3110 E COLISEUM BLVD, FORT WAYNE, IN 468051554 (Tel: 2604086732)

📍
Updated Business Mailing Address July 19, 2022

Registered at 422 UNION STATION DR, FORT WAYNE, IN 468148965 (Tel: 2604507630)

👤
Provider Name / Credentials Updated July 19, 2022

Recorded as TARA PHELPS, M.A.,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2022

Speech-Language Pathologist (License #22004392A in IN)

NPI Profile Active October 22, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2012

Registered at 303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 402225185 (Tel: 5024125847)

📍
Updated Business Mailing Address October 22, 2012

Registered at 303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 402225185 (Tel: 5024125847)

👤
Provider Name / Credentials Updated October 22, 2012

Recorded as TARA BURGE, M.A.,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2012

Speech-Language Pathologist (License #22004392A in IN)

🟢
Initial NPI Registration & Enumeration October 22, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043563505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2012
Last Update: September 09, 2022
Sole Proprietor: No

Mailing Address

422 Union Station Dr

Fort Wayne, IN 468148965

Phone: 2604507630

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.