Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Taylor, OTR

Individual provider Occupational Therapist · NPI 1689299695

Jacob Taylor, OTR is an Occupational Therapist in Private Practice in Lakeland, Florida. Qualified in 2016, 10 years ago. Practices with Sobe Innovative Rehabilitation PLLC, a 181-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2020
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1919 Lakeland Hills Blvd
Lakeland, FL 33805-2901
Phone: (850) 381-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (FL)

Record details

NPI number1689299695
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESJune 15, 2020
Certification dateJune 15, 2020
Mailing address225 W Tom Costine Rd, Lakeland, FL 33809-5293

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sobe Innovative Rehabilitation Pllc — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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