Active NPI
Lindsey Robyn Taylor, OTD, OTR/L
- Pediatric Occupational Therapist
- Elk Grove, CA
National Provider Identifier
1295357812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT-2163
- Practice address
- 3623 Lake Terrace Dr
Elk Grove, CA 95758-4631 - Phone
- (916) 217-0160
- NPI assigned
- May 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT-2163 | HI | Primary |
Addresses
Primary practice location
3623 Lake Terrace Dr
Elk Grove, CA 95758-4631
Mailing address
3623 Lake Terrace Dr
Elk Grove, CA 95758-4631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2163 | HI | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprouts Therapy LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1295357812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3623 LAKE TERRACE DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957584631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3623 LAKE TERRACE DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957584631",
"telephone_number": "916-217-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LINDSEY",
"middle_name": "ROBYN",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-18",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "HI",
"license": "OT-2163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.