Active NPI
Taylor Douglas Buchanan, OTD, OTR/L
- Pediatric Occupational Therapist
- Fountain, CO
National Provider Identifier
1497419584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT.0007810
- Practice address
- 901 N Santa Fe Ave
Fountain, CO 80817-1738 - Phone
- (956) 746-6444
- NPI assigned
- Oct 26, 2021
- Last updated
- Jul 6, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 122013 | TX | |
| Pediatric Occupational Therapist | 225XP0200X | OT.0007810 | CO | Primary |
Addresses
Primary practice location
901 N Santa Fe Ave
Fountain, CO 80817-1738
Mailing address
901 N Santa Fe Ave
Fountain, CO 80817-1738
Phone (956) 746-6444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT.0007810 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS & OCCUPATIONS |
| 122013 | Other | TX | ECPTOTE LICENSE NUMBER |
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 |
|---|---|---|---|
| 122013 | TX | MD | Occupational Therapist |
| OT.0007810 | CO | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1497419584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N SANTA FE AVE",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "808171738",
"telephone_number": "956-746-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N SANTA FE AVE",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "808171738",
"telephone_number": "956-746-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "TAYLOR",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-26",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "122013",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "OT.0007810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS & OCCUPATIONS",
"identifier": "OT.0007810",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECPTOTE LICENSE NUMBER",
"identifier": "122013",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fountain, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.