Active NPI
Taylor Woodworth Bullock
- Occupational Therapist
- Sugar Land, TX
National Provider Identifier
1972132785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge Speech and Hearing Foundation, Inc | Occupational Therapist | Current | 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.
-
- Speech-Language Pathologist
- Baton Rouge, LA
- NPI 1447450929
Occupational Therapist
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.