Letitia Taylor

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

3250 Brook Harbour Dr
Rockford, IL 61114-6650

Phone

(815) 399-8832

NPI assigned

Feb 28, 2008

Sex

Female

Sole proprietor

No

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.

• Bravehearts at the Bergmann Center

  • Physical Therapist
  • Poplar Grove, IL
  • NPI 1497060743

  Occupational Therapist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2008.

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1124297759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 BROOK HARBOUR DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 BROOK HARBOUR DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146650",
            "telephone_number": "815-399-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LETITIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Taylor, MD
• Collene Taylor, L.C.P.C.
• Courtney Leann Taylor, APRN
• Jennifer J Taylor, APN
• Jonathan Matthew Taylor, D.C.
• Linda K. Taylor, R.N.
• Shannon V. Taylor, PA-C
• Sheri Sue Taylor
• Edward Andrew Telfer, M.D.
• Vincent O. Tello Jr., M.D.

• All providers in Rockford, IL
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.