Active NPI
Katie L Taylor, OTR/L
- Occupational Therapist
- Goodyear, AZ
National Provider Identifier
1881824126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1382
- Practice address
- 13385 W McDowell Rd
Goodyear, AZ 85395-2631 - Phone
- (623) 986-5110
- Fax
- (623) 207-9683
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- No
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 | OT1382 | ME | Primary |
Addresses
Primary practice location
13385 W McDowell Rd
Goodyear, AZ 85395-2631
Mailing address
9 Campus Dr
Guilford, ME 04443-6315
Phone (207) 876-4635
Other practice location 1
25 Campus Dr
Guilford, ME 04443-6315
Phone (207) 876-4635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191024003184 | AZ | Practitioner - Occupational Therapist in Private Practice | 0345572202 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1382 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eleutheria, LLC | Occupational Therapist | Current | Accepting new patients |
| Msad #4 | Past | Accepting new patients |
Locations
13385 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 986-5110
Organizations & group practices 2
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.
-
dba Eleutheria Wellness Center
- Speech-Language Pathologist
- Goodyear, AZ
- NPI 1497027478
Occupational Therapist
-
- Local Education Agency (LEA)
- Guilford, ME
- NPI 1548482920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1881824126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CAMPUS DR",
"city": "GUILFORD",
"state": "ME",
"postal_code": "044436315",
"telephone_number": "207-876-4635",
"fax_number": "207-876-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13385 W MCDOWELL RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952631",
"telephone_number": "623-986-5110",
"fax_number": "623-207-9683"
}
],
"practiceLocations": [
{
"address_1": "25 Campus Dr",
"address_purpose": "LOCATION",
"city": "Guilford",
"state": "ME",
"postal_code": "044436315",
"country_code": "US",
"telephone_number": "207-876-4635",
"fax_number": "207-876-4363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "KATIE",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT1382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.