Taylor Made Pediatric Services Inc

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT003454 Issued in GA

Legal business name

TAYLOR MADE PEDIATRIC SERVICES INC

Practice address

1688 Ben Jones Rd
Clarkesville, GA 30523-3106

Phone

(706) 499-5489

NPI assigned

Dec 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Taylor

Title

Owner

Phone

(706) 499-5489

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Moorhead, MS, OTR/L

  • Occupational Therapist
  • Franklin, NC
  • NPI 1962467134
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629146808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "TURNERVILLE",
            "state": "GA",
            "postal_code": "305800143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 BEN JONES RD",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305233106",
            "telephone_number": "706-499-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MADE PEDIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-499-5489"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT003454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE NUMBER",
            "identifier": "306019",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP NUMBER",
            "identifier": "10036312",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas George Shaw Jr., D.C.
• Billy J Slaton, LPC, PHD
• Soque Pillbox LLC (ExpressMed Pharmacy)
• Stepping Stones 533 LLC
• Susie Strickland LPC, LLC
• Rachel Ragina Taylor, FNP
• Adrian P Thane, DC
• Clay Kimball Thomas, P.T.
• Scott Merlin Thompson, DMD
• William James Thurber Jr.

• Pediatric Occupational Therapist in Clarkesville, GA
• Providers in Clarkesville, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.