Taylor Combo

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2238 Issued in ID

Practice address

449 S Fitness PL
Eagle, ID 83616-6828

Phone

(208) 957-6301

NPI assigned

Sep 14, 2020

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• OT 4 Kidz, Inc

  • Occupational Therapist
  • Eagle, ID
  • NPI 1225449085
  NPD
• OT 4 Kidz, Inc

  • Developmental Disabilities Clinic/Center
  • Eagle, ID
  • NPI 1659029353
  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1811502172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 S FITNESS PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 S FITNESS PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166828",
            "telephone_number": "208-957-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBO",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "2238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Coate, COTA
• Kristina Coffey, PA
• Ariel Jade Cohen, LMT
• Joshua L Coleman, CRNA
• Taylor Colleran, LMSW
• Community Roots Arizona LLC
• Connect Pharmaceuticals LLC
• Connect Wellness
• Katy Connley, FNP-C
• Rebecca Cook, COTA/L

• Occupational Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.