Active NPI
Leslie Anderson Taylor, OTR
- Occupational Therapist
- Atlanta, GA
National Provider Identifier
1447502901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 115029
- Practice address
- 3007 Paces Lake Dr SE
Atlanta, GA 30339-4263 - Phone
- (404) 547-7058
- NPI assigned
- Oct 9, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 115029 | TX | Primary |
| Occupational Therapist | 225X00000X | OT006184 | GA |
Addresses
Primary practice location
3007 Paces Lake Dr SE
Atlanta, GA 30339-4263
Mailing address
3007 Paces Lake Dr SE
Atlanta, GA 30339-4263
Phone (404) 547-7058
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207164901 | Medicaid | TX | |
| 149984001 | Medicaid | TX |
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 |
|---|---|---|---|
| OT006184 | GA | MD | Occupational Therapist |
| 115029 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1447502901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 PACES LAKE DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303394263",
"telephone_number": "404-547-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 PACES LAKE DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303394263",
"telephone_number": "404-547-7058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LESLIE",
"middle_name": "ANDERSON",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "115029",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006184",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207164901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149984001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.