TAYLOR SYDOW (MA CCC SLP) – Speech-Language Pathologist, NPI 1083347637

TAYLOR SYDOW (MA CCC SLP) is a healthcare provider. based in Pinckney, Michigan. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MA CCC SLP. They hold a License No. 7101007428 (MI). The NPI Number for TAYLOR SYDOW (MA CCC SLP) is 1083347637

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR SYDOW (MA CCC SLP)
NPI
1083347637
Phone
Not provided
Address
664 S HOWELL ST
Enumeration Date
1 July 2022
Last Update Date
1 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3146736747
Graduation Year
2020 (6 years ago)
PAC ID
5698142206
Group Practice PAC ID
0446641179
Professional Enrollment ID
I20240507002070
Address ID
CO802313808DE2440XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

332 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MI

Provider Addresses for TAYLOR SYDOW (MA CCC SLP)

  • 664 S HOWELL ST

    PINCKNEY, MI 481698711

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221114002456IQualified Speech Language PathologistMITBD
I20240507002070IQualified Speech Language PathologistCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48169)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446641179View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeCO
Occupational Therapist In Private PracticeCO
Qualified Speech Language PathologistCO
Qualified Speech Language PathologistVA
Physical Therapist In Private PracticeNY
Qualified Speech Language PathologistIL
Physical Therapist In Private PracticeWA
Occupational Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Is TAYLOR SYDOW (MA CCC SLP) listed with a National Provider Identifier?
Yes — TAYLOR SYDOW (MA CCC SLP) has NPI 1083347637 on file in the registry.
Is TAYLOR SYDOW (MA CCC SLP) shown as active in public data?
Registry records indicate TAYLOR SYDOW (MA CCC SLP) maintains an active NPI.
What area of care is associated with TAYLOR SYDOW (MA CCC SLP)?
TAYLOR SYDOW (MA CCC SLP)'s record emphasizes Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is TAYLOR SYDOW (MA CCC SLP) associated with Pinckney?
Public fields place TAYLOR SYDOW (MA CCC SLP) around Pinckney, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for TAYLOR SYDOW (MA CCC SLP) is noted as July 1, 2022 where the registry provides it.

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