Individual provider Active NPI

Marci Ray Taylor, OTR, BCABA

  • Developmental - Behavioral Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1578639902
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
0-02-0520 Issued in TX
Practice address
85 NE Loop 410
Suite 209
San Antonio, TX 78216-5829
Phone
(210) 340-2627
Fax
(210) 340-6437
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 0-02-0520 TX Primary
Occupational Therapist 225X00000X 106160 TX

Addresses

Primary practice location

85 NE Loop 410
Suite 209
San Antonio, TX 78216-5829

Mailing address

15302 Antler Creek Dr
San Antonio, TX 78248-2011
Phone (210) 479-8541

Other identifiers 1

IdentifierTypeStateIssuer
8T0563OtherTXBLUE CROSS ID

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

LicenseStateTypeSpecialty
106160TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Treehouse Behavioral Services Developmental - Behavioral Pediatrics Past Accepting new patients
Treehouse Pediatric Center Developmental - Behavioral Pediatrics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1578639902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15302 ANTLER CREEK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482011",
            "telephone_number": "210-479-8541",
            "fax_number": "210-340-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 NE LOOP 410",
            "address_2": "SUITE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165829",
            "telephone_number": "210-340-2627",
            "fax_number": "210-340-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARCI",
        "middle_name": "RAY",
        "credential": "OTR, BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TX",
            "license": "0-02-0520",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "106160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "8T0563",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.