Taylor Elizabeth Bobo

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

22085 Issued in FL

Practice address

18115 N US Highway 41 Ste 800
Lutz, FL 33549-6475

Phone

(813) 848-0341

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Early Intervention Solutions LLC

  • Multi-Specialty Clinic/Center
  • Land O' Lakes, FL
  • NPI 1205347101
  NPD (past)
• Family First Therapy Inc.

  • Speech-Language Pathologist
  • Lutz, FL
  • NPI 1760875678
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1740853613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31722 PASCO RD",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335768088",
            "telephone_number": "813-838-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18115 N US HIGHWAY 41 STE 800",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496475",
            "telephone_number": "813-848-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBO",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT22085",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "22085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740853613",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bloom Pelvic Therapy LLC
• Blue Lotus Endocrine Company Inc
• Bluelife Wellness, LLC
• BMR Consulting LLC
• Breshan Marie Boardman, RBT
• Bhuvan Bodipati
• Gabrielle Bodroghy, IBCLC
• Antony Alexander Boghdadi, DMD
• Samer Boghdady
• Tanya R. Bogle, M.D.

• Pediatric Occupational Therapist in Lutz, FL
• Providers in Lutz, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.