=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710775838
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TAYLOR R. GREGORY OTR/L
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2025
-----------------------------------------------------
Last Update Date | 11/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7146 NOLENSVILLE RD
-----------------------------------------------------
City | NOLENSVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37135-9585
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-283-6150
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3093 MUD CAT RD
-----------------------------------------------------
City | CEDAR HILL
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37032-5088
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-389-9648
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 8293
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------