Heather Renea Taylor, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1004 Beau Terre Dr
Bentonville, AR 72712-6738

Phone

(479) 903-1018

Fax

(855) 738-7702

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Taylored Therapies, PLLC

  • Clinic/Center
  • Ellisville, MO
  • NPI 1093368623
  NPD Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1457486987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WEBBLY LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727142909",
            "telephone_number": "479-855-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 BEAU TERRE DR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126738",
            "telephone_number": "479-903-1018",
            "fax_number": "855-738-7702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Webbly Ln",
            "address_purpose": "LOCATION",
            "city": "Bella Vista",
            "state": "AR",
            "postal_code": "727142909",
            "country_code": "US",
            "telephone_number": "479-855-2613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "HEATHER",
        "middle_name": "RENEA",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2001000598",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irlna Ingrid Tantchou, M.D.
• Tara M. Cole, PH.D., P.a.
• Julie Lynette Tate, M.D.
• Brittny Taylor, MHPP
• Carlton Taylor, DMD
• Pamela Taylor, OTRL
• Sydney Mae Taylor
• Tciy Counseling, Inc.
• Tciy Ministries
• Geneva S Teal, MHPP/TEACHER

• Occupational Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.