Healthcare Provider Details

I. General information

NPI: 1225224751
Provider Name (Legal Business Name): TAMELA M PONDER-FEINBERG MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 LEE RD
ORLANDO FL
32810-5621
US

IV. Provider business mailing address

PO BOX 607556
ORLANDO FL
32860-7556
US

V. Phone/Fax

Practice location:
  • Phone: 407-489-1783
  • Fax: 844-593-1489
Mailing address:
  • Phone: 407-489-1783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: