Tisha Taylor, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

173237 Issued in OK

Practice address

5301 S Bodine Dr
Oklahoma City, OK 73135-1409

Phone

(409) 449-1841

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By 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

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1255046322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 S BODINE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351409",
            "telephone_number": "409-449-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S BODINE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351409",
            "telephone_number": "409-449-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TISHA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OK",
            "license": "173237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Taylor, AUD
• Stephanie Taylor, COTA/L
• Tamia Janiese Taylor
• Tiffany Taylor
• Tiffany Denise Taylor, APRN
• Travis Dean Taylor, RPT
• Walter F Taylor IV
• Carole Tayo
• Aminah Tayyab
• Tbcpm LLC (The Broadway Clinic Pharmacy)

• Massage Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Massage Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.