Active NPI
Taylor Elizabeth George, OTR/L
- Occupational Therapist
- Valdosta, GA
National Provider Identifier
1003578915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008229
- Practice address
- 200 W Moore St
Valdosta, GA 31602-2919 - Phone
- (229) 253-8500
- Fax
- (229) 253-8522
- NPI assigned
- Oct 7, 2021
- Last updated
- Nov 1, 2022
- 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 | OT008229 | GA | Primary |
Addresses
Primary practice location
200 W Moore St
Valdosta, GA 31602-2919
Mailing address
200 W Moore St
Valdosta, GA 31602-2919
Phone (229) 253-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003257691A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT008229 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Rehabilitation Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
111 12th St E
Tifton, GA 31794
Phone (229) 652-5650
200 W Moore St
Valdosta, GA 31602
Phone (229) 253-8500
Organizations & group practices 1
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.
-
dba Valdosta Pediatric Therapy Services
- Occupational Therapist
- Valdosta, GA
- NPI 1093868788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1003578915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W MOORE ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022919",
"telephone_number": "229-253-8500",
"fax_number": "229-253-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W MOORE ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022919",
"telephone_number": "229-253-8500",
"fax_number": "229-253-8522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "TAYLOR",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT008229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003257691A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
- John E Gee, MD
- Stephanie S Gee, M.D.
- Genoa Healthcare LLC
- Frank Larry George, OTR/L
- Judson George, OTR/L
- Georgia Care Group LLC (Home Instead Senior Care)
- Georgia Correctional Health Care
- Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #04534)
- Georgia Em-I Medical Services, PC
- Georgia ENT & Facial Plastics, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.