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Taylor Rutledge, COTA/L

Occupational Therapy Assistant in Carmi, IL. Individual provider (NPI-1).

NPI number1982148417
StatusActive
Last updated in NPPESDec 19, 2016

Details

NPI
1982148417
Entity type
Individual (NPI-1)
Name
Taylor Rutledge
Credential
COTA/L
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2016
Last updated
Dec 19, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant057.004623ILYes

Practice location

216 College Blvd
Carmi, IL 62821-1548

Phone 618-382-4644

Mailing address

216 College Blvd
Carmi, IL 62821-1548

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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