Active NPI
Michael Lee Taylor, MOT, OTR/L
- Occupational Therapist
- Orlando, FL
National Provider Identifier
1841807146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT11159
- Practice address
- 100 W Gore St Ste 104
Orlando, FL 32806-1041 - Phone
- (321) 843-2959
- NPI assigned
- Sep 30, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT11159 | FL | Primary |
Addresses
Primary practice location
100 W Gore St Ste 104
Orlando, FL 32806-1041
Mailing address
1038 W Riviera Blvd
Oviedo, FL 32765-5634
Phone (407) 330-8936
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT11159 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1841807146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 W RIVIERA BLVD",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327655634",
"telephone_number": "407-330-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W GORE ST STE 104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061041",
"telephone_number": "321-843-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MICHAEL",
"middle_name": "LEE",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT11159",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "email",
"affiliation": "N",
"address_1": "100 W Gore St Ste 104",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328061041",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.