Carly Taylor, OT

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

211057 Issued in TX

Practice address

3410 Magnolia St
Texarkana, TX 75503-3729

Phone

(903) 792-3003

Fax

(903) 794-1005

NPI assigned

Sep 20, 2011

Last updated

Sep 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy Options of Texarkana, Inc

  dba Therapy Options

  • Physical Therapist
  • Texarkana, TX
  • NPI 1467893909
  NPD (past)
• Therapy Options of Texarkana, Inc.

  • Occupational Therapist
  • Texarkana, TX
  • NPI 1528003969
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1417230103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 IDALOU DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030531",
            "telephone_number": "903-276-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 MAGNOLIA ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033729",
            "telephone_number": "903-792-3003",
            "fax_number": "903-794-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CARLY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "211057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF THERAPY EXAMINERS",
            "identifier": "211057",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodger Dale Talley, DDS
• Tammie Flanagan Luthringer Physical Therapy and Wellness, LLC (Restore Physical Therapy & Wellness)
• Jon A Tarpley, MD
• Carol A Tatum, ANP CNS
• Jacqueline S Taylor Odonald, M.D.
• Mylene Taylor, FNP-BC
• Kimberly Shawn Teer, M.S. CCC/SLP
• Teleoptometric Service TX, P.C.
• Temple Memorial Pediatric Center Inc.
• Eric M. Teplicki, M.D.

• Occupational Therapy Assistant in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.