Taylor Nicole White, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21571 Issued in FL

Practice address

285 Old Village Center Cir Unit 5203
Saint Augustine, FL 32084-5817

Phone

(843) 503-4461

NPI assigned

Feb 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Homebody Therapy and Wellness, LLC

  • Occupational Therapist
  • Saint Augustine, FL
  • NPI 1467208868
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1295329571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 OLD VILLAGE CENTER CIR UNIT 5203",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320845817",
            "telephone_number": "843-503-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 OLD VILLAGE CENTER CIR UNIT 5203",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320845817",
            "telephone_number": "843-503-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21751",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alford Whitaker, RBT
• Kaycie White, PT, DPT
• Madison Alaina White, M.S. CCC-SLP
• Mikayla White
• Sarah Smith White, M.S.
• Brianna Whitley
• Warren O Whitlock Jr., M.D.
• Tyhesha N Whitlow
• Aaron Fredrick Whitney
• Whole Health Bodywork

• Occupational Therapist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.