Taylor Nicole McIntosh, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5468 Issued in OK

Practice address

2257 W Washington St
Broken Arrow, OK 74012-6703

Phone

(918) 994-7799

NPI assigned

Sep 22, 2020

Last updated

Nov 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Tulsa, OK
  • NPI 1598332173
  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Kassie Peck, PLLC

  dba Greenhouse Pediatric Therapy

  • Multi-Specialty Clinic/Center
  • Broken Arrow, OK
  • NPI 1316350036
  NPD (past)
• Step by Step Therapy Inc

  dba Step by Step Pediatric Therapy

  • Pediatric Physical Therapist
  • Owasso, OK
  • NPI 1861044521

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1174139323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 SOUTHRIDGE CIR APT 4",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744647957",
            "telephone_number": "580-212-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 W WASHINGTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126703",
            "telephone_number": "918-994-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "5468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor@greenhousepediatrictherapy.com",
            "affiliation": "Y",
            "affiliationName": "Kassie Peck, PLLC",
            "address_1": "2257 W Washington St",
            "city": "Broken Arrow",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740126703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colleen Ann McGrath, M.A., CCC-SLP
• Lucas Gabriel McGraw
• Olivia Kay McGuire
• Julia McHenry
• Teresa Jo McIlroy, RPT
• Brooke Haley McIntyre, RD, LD
• Ryan McKenna
• Larry D. McKenzie, DO
• Wendy McKinney
• Gayle Marie McKinnon, CRNA

• Pediatric Occupational Therapist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Pediatric Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.