Andrea L Taylor, ATC, OTC, OT-SC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1001 Issued in SC

Practice address

2 Medical Park Rd Ste 404
Columbia, SC 29203-6875

Phone

(803) 434-8288

Fax

(803) 434-5467

NPI assigned

Jan 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1730501719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK RD STE 404",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036875",
            "telephone_number": "803-434-8288",
            "fax_number": "803-434-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK RD STE 404",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036875",
            "telephone_number": "803-434-8288",
            "fax_number": "803-434-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "ATC, OTC, OT-SC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tava Clinical Services, P.a.
• Taylor Cares Home Care LLC
• Rhonda Taylor-Strahl
• Akilah Taylor
• Alisha Taylor, LAPC
• Carolyn Annette Taylor
• Charity Michelle Taylor, CRNA
• Cheri Taylor, AGNP-C
• Deandrea N Taylor
• Deborah Taylor

• Athletic Trainer in Columbia, SC
• Providers in Columbia, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.