Keith Taylor, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A000100 Issued in MD

Practice address

11114 Wild Branch CT
Owings Mills, MD 21117-1778

Phone

(419) 305-1913

NPI assigned

Apr 10, 2014

Last updated

Apr 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1205255791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11114 WILD BRANCH CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171778",
            "telephone_number": "410-356-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11114 WILD BRANCH CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171778",
            "telephone_number": "419-305-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KEITH",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A000100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariela Sarah Taub, M.D.
• Amber Taylor
• Fatima T. Taylor, CRNP
• James Taylor
• Katy Renee Taylor, COTA
• Maxine Taylor, PHD, LCSW-C
• Shannon Taylor
• Sonia Taylor
• Wendy Teie
• Alexandria A Temple

• Athletic Trainer in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.