MRS. TARA ANNE OKON (P.T.) – Physical Therapist, NPI 1619130879

MRS. TARA ANNE OKON (P.T.) is a healthcare provider. based in Leesburg, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT002897 (GA). The NPI Number for MRS. TARA ANNE OKON (P.T.) is 1619130879

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TARA ANNE OKON (P.T.)
NPI
1619130879
Phone
(229) 434-9087
Address
1048 Philema Rd S
Enumeration Date
8 July 2008
Last Update Date
5 December 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
3348262090
Graduation Year
1989 (37 years ago)
PAC ID
0941464283
Group Practice PAC ID
1355254780
Professional Enrollment ID
I20231026000777
Address ID
AL368325889AU161XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for MRS. TARA ANNE OKON (P.T.)

  • 1048 Philema Rd S

    Leesburg, GA 317633318

    Phone: (229) 434-9087

    Fax: (229) 434-9087

    Type: Location

  • 1048 PHILEMA RD S

    LEESBURG, GA 317633318

    Phone: (229) 434-9087

    Fax: (229) 434-9087

    Type: Mailing

  • PO BOX 370

    FORTSON, GA 318080370

    Phone: (706) 494-3071

    Type: Mailing

  • 161 E UNIVERSITY DR

    AUBURN, AL 368325889

    Phone: (334) 826-2090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120618000080IPhysical Therapist In Private PracticeGATBD
I20231026000777IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3120$0
97162Evaluation for physical therapy, typically 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 31763)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355254780View full group profile
NameSpecialtyState
-GA
-AL
Physical Therapist In Private PracticeGA
Physician AssistantAL
Physical Therapist In Private PracticeGA
Sports Medicine, Orthopedic Surgery, Orthopedic SurgeryGA
Nurse PractitionerGA
Physical Therapist In Private PracticeSC
Sports Medicine, Orthopedic SurgeryGA
Occupational Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Is MRS. TARA ANNE OKON (P.T.) listed with a National Provider Identifier?
Yes — MRS. TARA ANNE OKON (P.T.) has NPI 1619130879 on file in the registry.
Is MRS. TARA ANNE OKON (P.T.) still an active registrant?
MRS. TARA ANNE OKON (P.T.) carries an active NPI according to the public dataset.
What kind of doctor is MRS. TARA ANNE OKON (P.T.)?
MRS. TARA ANNE OKON (P.T.) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is MRS. TARA ANNE OKON (P.T.) registered?
Use Leesburg, Georgia as the headline location for MRS. TARA ANNE OKON (P.T.) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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