Micah John Taylor, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

004178-01 Issued in NY

Practice address

434 Main St
New Rochelle, NY 10801-6410

Phone

(914) 632-5400

NPI assigned

Aug 17, 2021

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

Other names 1

• Micah Taylor Professional name

Electronic endpoints 1

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1285300533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PURDY AVE APT 2",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105735053",
            "telephone_number": "914-215-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016410",
            "telephone_number": "914-632-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICAH",
        "middle_name": "JOHN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "004178-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mtaylor@monroecollege.edu",
            "affiliation": "Y",
            "affiliationName": "Monroe College",
            "address_1": "434 Main St",
            "city": "New Rochelle",
            "state": "NY",
            "country_code": "US",
            "postal_code": "108016410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICAH",
            "last_name": "TAYLOR",
            "credential": "ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Martha Isabel Tarazona, LMHC-D
• Elizabeth Taronji
• Adrian Tascon, TEACHING ASSISTANT
• Shanona Tate
• Melissa D Tavares Polanco
• Roseline S Taylor, LMSW
• Theresa A. Taylor, LCSW-R
• Kristen Tedrow, LCSW
• Melissa Lisseth Tello Bazalar, M.S.
• Carol Telzak, M.A.

• Athletic Trainer in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.