=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730008921
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY MARIE TAYLOR OTR, OTD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2026
-----------------------------------------------------
Last Update Date | 07/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 MEDICAL PKWY STE 260
-----------------------------------------------------
City | LAKEWAY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78738-1796
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 737-237-0016
-----------------------------------------------------
Fax | 737-701-5921
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10601 SIERRA OAKS
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78759-5166
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-806-3196
-----------------------------------------------------
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 | 534085
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------