Individual provider Active NPI

Marvin Wesley Taylor, M.S., SLP

  • Speech-Language Pathologist
  • Gaithersburg, MD
National Provider Identifier
1932418340
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08704 Issued in MD
Practice address
12 S Summit Ave Ste 100
Gaithersburg, MD 20877-2090
Phone
(202) 556-3126
NPI assigned
Oct 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ4828 FL
Speech-Language Pathologist 235Z00000X 08704 MD Primary
Speech-Language Pathologist 235Z00000X 2202010014 VA

Addresses

Primary practice location

12 S Summit Ave Ste 100
Gaithersburg, MD 20877-2090

Mailing address

19425 Haven White CT
Gaithersburg, MD 20879-4982
Phone (954) 600-0407

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SZ4828FLMDSpeech-Language Pathologist
2202010014VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Learn With Therapy, Inc. Speech-Language Pathologist Past Accepting new patients
Multi-Lingual Speech Group, Inc. Speech-Language Pathologist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1286064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1932418340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19425 HAVEN WHITE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794982",
            "telephone_number": "954-600-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S SUMMIT AVE STE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772090",
            "telephone_number": "202-556-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARVIN",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-03",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ4828",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08704",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.