Michele Susonwha Taylor, RMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

R0888 Issued in MD

Practice address

260 Gateway Dr Ste 5a
Bel Air, MD 21014-4266

Phone

(443) 703-9815

NPI assigned

Sep 6, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Michele Susonwha Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1083490890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 E JOPPA RD",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289316",
            "telephone_number": "805-758-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR STE 5A",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144266",
            "telephone_number": "443-703-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHELE",
        "middle_name": "SUSONWHA",
        "credential": "RMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R0888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "TAYLOR",
            "middle_name": "SUSONWHA",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clarice Elizabeth Taylor, PHYSICAL THERAPIST
• Hannah Marie Taylor
• John Swisher Taylor, P. T.
• Kaitlyn Taylor
• Matthew Daniel Taylor, M.S., LCPC
• Michelle Taylor, CRNP-BC
• Taylored Living, LLC
• Kayla Tegeler
• James Hunter Templeton, PA
• Rebecca L. Terhune, SLP

• Massage Therapist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.