| Kassidy Nicole Taylor, OT | |
|
1100 Blythe Blvd, Charlotte, NC 28203-5814 | |
| (804) 929-0969 | |
| Not Available |
| Full Name | Kassidy Nicole Taylor |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1100 Blythe Blvd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962269753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 14961 (North Carolina) | Primary |
| Provider Name | Resurgence Neuro Rehab Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609472539 PECOS PAC ID: 2163835653 Enrollment ID: O20201229002919 |
| Mailing Address | Practice Location Address |
|---|---|
| Kassidy Nicole Taylor, OT 1239 Polk St, Charlotte, NC 28206-2937 Ph: () - | Kassidy Nicole Taylor, OT 1100 Blythe Blvd, Charlotte, NC 28203-5814 Ph: (804) 929-0969 |
Brenda Kennell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5100 Sharon Rd, Charlotte, NC 28210 Phone: 704-554-4818 Fax: 704-551-0659 | |
Meghan Suntich, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-667-8200 | |
Carissa Faye Crawford, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 Almora Dr, Charlotte, NC 28216 Phone: 704-910-7843 | |
Elisabeth Neely Theodossiou, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-4370 | |
Megan Marie Barber, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13600 S Tryon St, Charlotte, NC 28278 Phone: 704-705-2727 | |
Ms. Sarah Mary Evanko, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4012 Park Rd Ste 200, Charlotte, NC 28209 Phone: 704-541-9080 | |
Madison Taylor O'hara, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7926 Turquoise Dr, Charlotte, NC 28215 Phone: 704-816-9982 |