TAYLOR ALICIA TAVARES OTD, OTR/L
NPI 1508788019
Occupational Therapist in Granite Bay, CA
About Taylor Alicia Tavares Otd, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR ALICIA TAVARES OTD, OTR/L (NPI 1508788019) is an individual occupational therapist in Granite Bay, California, licensed in California (28340) and active in the NPI registry since July 2026. She maintains 2 additional practice locations and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Taylor Alicia Tavares Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Taylor Tavares reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Billings, MT 59106
- Reassigned Medicare billing, California enrollment
- 332 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRANITE BAY, CA 95746
GRANITE BAY, CA 95746
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Taylor Tavares's NPI number?
The NPI number for Taylor Tavares is 1508788019. It was assigned to this individual provider in the NPPES registry on July 27, 2026.
Where is Taylor Tavares located?
Taylor Tavares practices at 9747 Sierra College Blvd, Granite Bay, CA 95746. The listed phone number is (916) 846-9800.
What is Taylor Tavares's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Taylor Tavares enrolled in Medicare?
Yes. Taylor Tavares is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Taylor Tavares's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Tavares reassigns Medicare benefits to Orthopaedic And Neurological Rehab Inc (Billings, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taylor Tavares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Taylor Tavares was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.