Individual provider Active NPI

Taylor Woodworth Bullock

  • Occupational Therapist
  • Sugar Land, TX
National Provider Identifier
1972132785
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
3030 Edgewater Blvd
Sugar Land, TX 77478-4438
Phone
(601) 248-1061
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

3030 Edgewater Blvd
Sugar Land, TX 77478-4438

Mailing address

4727 Gilbert Rd
Iowa Colony, TX 77583-3146
Phone (601) 248-1061

Other practice location 1

7784 Innovation Park Dr
Baton Rouge, LA 70820-7006
Phone (225) 343-4232

Other practice location 2

4728 Monte Vista Dr
Addis, LA 70710-3024
Phone (601) 248-1061

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Speech and Hearing Foundation, Inc Occupational Therapist CurrentSince May 1, 2020 Accepting new patients

Locations

7784 Innovation Park Dr
Baton Rouge, LA 70820
Phone (225) 343-4232

Organizations & group practices 1

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1972132785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 GILBERT RD",
            "city": "IOWA COLONY",
            "state": "TX",
            "postal_code": "775833146",
            "telephone_number": "601-248-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 EDGEWATER BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784438",
            "telephone_number": "601-248-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7784 Innovation Park Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708207006",
            "country_code": "US",
            "telephone_number": "225-343-4232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4728 Monte Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Addis",
            "state": "LA",
            "postal_code": "707103024",
            "country_code": "US",
            "telephone_number": "601-248-1061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "TAYLOR",
        "middle_name": "WOODWORTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.