Tangenique Taylor, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT005635 Issued in GA

Practice address

2786 N Decatur Rd Ste 230
Decatur, GA 30033-5928

Phone

(404) 289-4270

NPI assigned

Mar 24, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1447677927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 FLOYD ROAD STE 300",
            "address_2": "225",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301060341",
            "telephone_number": "770-530-9012",
            "fax_number": "770-234-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2786 N DECATUR RD STE 230",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335928",
            "telephone_number": "404-289-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TANGENIQUE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Shanta Taylor, FNP-C
• Marjorie Taylor, PA-C
• Mary Suzanne Taylor, PSYD
• Michelle Rose Nicole Taylor
• Sybil Howard Taylor
• Tbi Diagnostic Centers of Georgia
• Tbi3 Georgia LLC
• Valerie Tchinang, CNM
• TD Wellness, LLC (Orozco Nutrition)
• Team Management 2000 Inc

• Occupational Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.