Tanja Lynette Taylor, OT, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000633 Issued in GA

Practice address

3400 McClure Bridge Rd Ste F601
Duluth, GA 30096-8740

Phone

(678) 682-8828

Fax

(678) 682-8830

NPI assigned

Nov 2, 2011

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Medical College of Georgia School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta Rehabilitation and Performance CenterGroup PAC ID 5890692917, 95 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Atlanta Rehabilitation and Performance Center

  • Physical Therapy Clinic/Center
  • Cleveland, GA
  • NPI 1982797494
  Medicare reassignment Care Compare group NPD
• Hand to Shoulder Therapy Specialists of Duluth

  • Hand Occupational Therapist
  • Duluth, GA
  • NPI 1972889491
  NPD Authorized official
• Atlanta Rehabilitation and Performance Center

  • Physical Therapy Clinic/Center
  • Lawrenceville, GA
  • NPI 1013789205
  NPD

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1215213392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-982-0102",
            "fax_number": "770-982-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD STE F601",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968740",
            "telephone_number": "678-682-8828",
            "fax_number": "678-682-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Professional Dr Ste 370",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300463334",
            "country_code": "US",
            "telephone_number": "678-205-5420",
            "fax_number": "678-205-5462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TANJA",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "OT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "000633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Coopersmith Taylor, LPC
• Madison Taylor
• Shamiya Taylor
• Shaneka Joanne Taylor
• Tameesha N Taylor
• Shamila Tebyanian, PHARMD.
• Tender Loving Care Health Care Services of Georgia, LLC
• Ankita Anil Tendolkar, BCBA BEHAVIOR ANALYS
• Ana Nicole Limon Tepoz, RBT
• Tess Medical LLC

• Occupational Therapist in Duluth, GA
• Providers in Duluth, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.