DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TAELOR CASH OTR/L

MEDICARE: TAELOR CASH OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist056011211IL

General Provider Information

NPI Number : 1003758277
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAELOR CASH OTR/L
Provider Business Mailing Address
First Line : 5510 E STATE ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61108-2381
Country : US
Telephone Number : 815-395-4505
Fax Number : 815-395-4507
Provider Business Practice Location Address
First Line : 5510 E STATE ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61108-2381
Country : US
Telephone Number : 815-395-4505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

Similar Medicare Providers

1932172087 — CLAYTON A. CORLESS ATC
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4505
Practice Fax: 815-395-4507
1417925355 — MRS. CHRISTINA AUGUSTA ELDRIDGE ATC, CSCS
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4585
Practice Fax: 815-395-4507
1134198211 — MRS. KIMBERLY ANN SMITH M.S. ED, ATC
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4505
Practice Fax: 815-395-4507
1023087186 — RUSSELL CHARLES MORGAN ATC/L
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4505
Practice Fax:
1720057375 — MR. BRETT HOLMERTZ ATC
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4505
Practice Fax: 815-395-4507
1831168285 — MS. JAN K HERSHEY MSED
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4505
Practice Fax:

Directions to “ TAELOR CASH OTR/L” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.