Active NPI
Deondra Taylor
- Occupational Therapist
- Irving, TX
National Provider Identifier
1376931220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114073
- Practice address
- 6225 N State Highway 161
Irving, TX 75038-2223 - Phone
- (214) 587-4293
- NPI assigned
- Dec 30, 2014
- Last updated
- May 14, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 114073 | TX | Primary |
Addresses
Primary practice location
6225 N State Highway 161
Irving, TX 75038-2223
Mailing address
355 W Westchester Pkwy
Grand Prairie, TX 75052-5284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Soldiers Field Dr
Sugar Land, TX 77479-4085
Phone (713) 853-3996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114073 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Senior Living LLC | Occupational Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Occupational Therapist | Current | Accepting new patients |
Locations
5800 Granite Pkwy
Ste 325
Plano, TX 75024
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Occupational Therapist
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- Physical Therapist
- Hopedale, MA
- NPI 1871457994
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1376931220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 W WESTCHESTER PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750525284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6225 N STATE HIGHWAY 161",
"city": "IRVING",
"state": "TX",
"postal_code": "750382223",
"telephone_number": "214-587-4293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DEONDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-30",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.