William Taylor Middleton, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2078 Issued in AR

Practice address

1200 S Elmira Ave
Russellville, AR 72802-9646

Phone

(479) 968-7118

Fax

(479) 968-8628

NPI assigned

Nov 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Taylor Middleton Other name

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.

• Friendship Community Care Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Russellville, AR
  • NPI 1528144318
  NPD

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1942674007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 2109",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72811",
            "telephone_number": "479-967-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S ELMIRA AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029646",
            "telephone_number": "479-968-7118",
            "fax_number": "479-968-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "WILLIAM",
        "middle_name": "TAYLOR",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-30",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242631721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "MIDDLETON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Metcalf, QBHP
• Jennifer Metz
• Kevin Meyer, M.D.
• Michael S Dalton DDS PA
• Michael W. Cooper, D.D.S., P.a.
• Erica Millan
• Bailee Marie Miller, MS, OTR/L
• Jacqueline Miller, PT
• Megan Deanne Miller, MOT
• Megan Mills

• Occupational Therapist in Russellville, AR
• Providers in Russellville, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.