Provider Demographics
NPI:1437194016
Name:TAYLOR, NEIL (OTR)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 IPSWICH DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3031
Mailing Address - Country:US
Mailing Address - Phone:302-562-7336
Mailing Address - Fax:
Practice Address - Street 1:750 PRIDES XING STE 112
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-6107
Practice Address - Country:US
Practice Address - Phone:302-864-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU10000092225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE292676OtherMAMSI
DEU10000092OtherDE LICENSE
DE1437194016Medicaid
S76692Medicare UPIN
DEU10000092OtherDE LICENSE
DE292676OtherMAMSI
DE003102A78Medicare PIN
PA385857YRN6Medicare PIN