Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tina Marie Black

Pediatric Occupational Therapist in Gainesville, GA · enumerated 2006 · practices at Black'S Pediatric Therapy, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013087428

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Registry record

Entity type Individual (Type 1)

Name Tina Marie Black

Sex Female

Practice address 4502 Summer Gate Ct, Gainesville, GA, 30506

Phone (770) 378-5986

Fax (770) 536-0346

Enumeration date Nov 9, 2006

Last updated in NPPES Jul 9, 2007

Taxonomy & licenses

225XP0200X Pediatric Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OT003199 (GA) Primary

Other identifiers

Identifier	Type	State	Issuer
307327	Other	GA	WELLCARE
10038361	Other	GA	AMERIGROUP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Tina Black?

Tina Black is registered in NPPES with the primary taxonomy of Pediatric Occupational Therapist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Black'S Pediatric Therapy, Inc. Pediatric Occupational Therapist · Gainesville, GA NPI 1477754067

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.