Active NPI
Cory Lynn Taylor, O.T.R.L.
- Occupational Therapist
- Indiana, PA
National Provider Identifier
1750598181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009062
- Practice address
- 1155 Indian Springs Rd
Indiana, PA 15701-3466 - Phone
- (724) 464-1600
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC009062 | PA | Primary |
| Occupational Therapist | 225X00000X | 05548 | MD |
Addresses
Primary practice location
1155 Indian Springs Rd
Indiana, PA 15701-3466
Mailing address
1947 Wopsy Rd
Dysart, PA 16636-9005
Phone (814) 931-7370
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 |
|---|---|---|---|
| 05548 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750598181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1947 WOPSY RD",
"city": "DYSART",
"state": "PA",
"postal_code": "166369005",
"telephone_number": "814-931-7370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 INDIAN SPRINGS RD",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013466",
"telephone_number": "724-464-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CORY",
"middle_name": "LYNN",
"credential": "O.T.R.L.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009062",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05548",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.