Active NPI
Tara Baran, OTR
- Occupational Therapist
- Supply, NC
National Provider Identifier
1295334498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13630
- Practice address
- 58 Physicians Dr NW Ste 106
Supply, NC 28462-4216 - Phone
- (910) 755-6075
- Fax
- (910) 406-4111
- NPI assigned
- Oct 20, 2020
- Last updated
- Feb 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13630 | NC | Primary |
Addresses
Primary practice location
58 Physicians Dr NW Ste 106
Supply, NC 28462-4216
Mailing address
58 Physicians Dr NW Ste 106
Supply, NC 28462-4216
Phone (910) 755-6075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastline Therapy Group, LLC | Occupational Therapist | Current | Accepting new patients |
| Creative Hands Occupational Therapy | Past | Accepting new patients | |
| J.Z. Mann Pediatric Therapy, Inc. | Past | Accepting new patients | |
| Coastal Speech and Reading Center | Past | Accepting new patients |
Locations
3901 Wrightsville Ave
Ste 120
Wilmington, NC 28403
4130 Oleander Dr
Ste 101
Wilmington, NC 28403
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Wilmington, NC
- NPI 1730681388
Occupational Therapist
-
- Speech-Language Pathologist
- Lumberton, NC
- NPI 1649626466
-
- Pediatric Occupational Therapist
- Supply, NC
- NPI 1235188780
-
- Speech-Language Pathologist
- Jacksonville, NC
- NPI 1316031222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1295334498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PHYSICIANS DR NW STE 106",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284624216",
"telephone_number": "910-755-6075",
"fax_number": "910-406-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PHYSICIANS DR NW STE 106",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284624216",
"telephone_number": "910-755-6075",
"fax_number": "910-406-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAN",
"first_name": "TARA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "13630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Supply, NC
- Atlantic Internal Medicine PA
- Atlantic Neurology and Sleep Medicine,PLLC
- Atlantic Urology PC
- Avid Health at Home North Carolina (Avid Health at Home NC)
- Diane Nicole Ballerino-Regan, M.D.
- Mary Beth Barna, PNP-BC
- Otis Jeffrey Baty, PNP
- Barbara C Bauer, LPC
- Beach Primary Care and Wellness PLLC
- Kirra Beecher
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.