Taylor H Holden, OT

Individual provider Active NPI Occupational Therapist · Horn Lake, MS

NPI 1013663475 · NPPES record last updated Jun 6, 2025

Key facts

NPI
1013663475
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT-4037 (MS)
Practice address
1751 Dancy Blvd
Ste 2
Horn Lake, MS 38637
Phone
(901) 292-5313
Fax
(901) 867-1603
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT-4037MSMDOccupational Therapist
6986TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Service Past
since Jun 8, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6986 TN
Occupational Therapist 225X00000X OT-4037 MS Yes

Addresses

Primary practice location

1751 Dancy Blvd
Ste 2
Horn Lake, MS 38637

Mailing address

11315 McCormick Rd
Arlington, TN 38002
Phone (901) 461-7633

Other identifiers

IdentifierTypeStateIssuer
200004286MedicaidMS

Other names

  • Miss Taylor A Harrell Former name

Other providers in Horn Lake, MS

All providers in Horn Lake, MS · Occupational Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.