Active NPI
Jennifer Dionne Taylor, OTR/L
- Occupational Therapist
- Glen Burnie, MD
National Provider Identifier
1639373145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05085
- Practice address
- 811 Cromwell Park Dr
Glen Burnie, MD 21061-2566 - Phone
- (410) 590-4926
- NPI assigned
- Jun 11, 2007
- Last updated
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 05085 | MD | Primary |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 05085 | MD | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 05085 | MD | |
| Environmental Modification Occupational Therapist | 225XE0001X | 05085 | MD |
Addresses
Primary practice location
811 Cromwell Park Dr
Glen Burnie, MD 21061-2566
Mailing address
1117 Wynbrook Rd
Glen Burnie, MD 21060-7026
Phone (443) 306-4672
Other names 1
- Ms. Jennifer Dionne Morton
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05085 | MD | MD | Physical Rehabilitation Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Glen Burnie, MD
- NPI 1922685148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1639373145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 WYNBROOK RD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210607026",
"telephone_number": "443-306-4672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 CROMWELL PARK DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210612566",
"telephone_number": "410-590-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JENNIFER",
"middle_name": "DIONNE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05085",
"primary": true
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "MD",
"license": "05085",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MD",
"license": "05085",
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "MD",
"license": "05085",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MORTON",
"middle_name": "DIONNE",
"prefix": "MS.",
"credential": "OTR",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.