Active NPI
Sean Patrick Taylor, OTR/L
- Pediatric Occupational Therapist
- Manalapan, NJ
National Provider Identifier
1043953086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 46TR01055900
- Practice address
- 100 Craig Rd Ste 102
Manalapan, NJ 07726-8731 - Phone
- (201) 360-7918
- NPI assigned
- Apr 18, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 46TR01055900 | NJ | Primary |
Addresses
Primary practice location
100 Craig Rd Ste 102
Manalapan, NJ 07726-8731
Mailing address
104 Bryce CT
Manalapan, NJ 07726-5033
Phone (201) 360-7918
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 |
|---|---|---|---|
| 46TR01055900 | NJ | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1043953086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 BRYCE CT",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077265033",
"telephone_number": "201-360-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CRAIG RD STE 102",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077268731",
"telephone_number": "201-360-7918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SEAN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NJ",
"license": "46TR01055900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.