Active NPI
Tayla Hannagan, OT
- Occupational Therapist
- Middletown, RI
National Provider Identifier
1164120937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT02166
- Practice address
- 1272 West Main Road
BLDG 2, 2ND Floor
Middletown, RI 02842 - Phone
- (401) 683-8063
- Fax
- (401) 324-5618
- NPI assigned
- Feb 21, 2023
- 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 | OT02166 | RI | Primary |
Addresses
Primary practice location
1272 West Main Road
BLDG 2, 2ND Floor
Middletown, RI 02842
Mailing address
1272 West Main Road
BLDG 2, 2ND Floor
Middletown, RI 02842
Phone (140) 168-3806
Other practice location 1
225 Newman Avenue
Rumford, RI 02916-0291
Phone (401) 683-8063
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 |
|---|---|---|---|
| OT02166 | RI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1164120937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 WEST MAIN ROAD",
"address_2": "BLDG 2, 2ND FLOOR",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "02842",
"telephone_number": "140-168-3806",
"fax_number": "401-324-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 WEST MAIN ROAD",
"address_2": "BLDG 2, 2ND FLOOR",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "02842",
"telephone_number": "401-683-8063",
"fax_number": "401-324-5618"
}
],
"practiceLocations": [
{
"address_1": "225 Newman Avenue",
"address_purpose": "LOCATION",
"city": "Rumford",
"state": "RI",
"postal_code": "029160291",
"country_code": "US",
"telephone_number": "401-683-8063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNAGAN",
"first_name": "TAYLA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT02166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.