Individual provider Active NPI

Tanya Feddern-Bekcan, OT

  • Occupational Therapist
  • Palm Coast, FL
National Provider Identifier
1235245085
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 10409 Issued in FL
Practice address
3001 Palm Coast Pkwy SE
Palm Coast, FL 32137-8209
Phone
(386) 446-6060
NPI assigned
Aug 22, 2006
Last updated
Jan 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 10409 FL Primary

Addresses

Primary practice location

3001 Palm Coast Pkwy SE
Palm Coast, FL 32137-8209

Mailing address

5265 Datil Pepper Rd
Saint Augustine, FL 32086-5626
Phone (305) 785-5366

Other identifiers 1

IdentifierTypeStateIssuer
8916101 00MedicaidFL

Other names 1

  • Ms. Tanya Theresa Feddern Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT 10409FLMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1235245085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 DATIL PEPPER RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865626",
            "telephone_number": "305-785-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 PALM COAST PKWY SE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378209",
            "telephone_number": "386-446-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDERN-BEKCAN",
        "first_name": "TANYA",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 10409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8916101 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "FEDDERN",
            "middle_name": "THERESA",
            "prefix": "MS.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.