Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700440120 Individual Practitioner Female Practitioner

Taylor Lee-Wambolt

Occupational Therapist • Saint Augustine, FL

Professional Overview & Biography Verified Profile Summary

Taylor Lee-Wambolt is a registered healthcare professional specializing in Occupational Therapist in Saint Augustine, FL. Practice services are available at 205 CABEZA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 Cabeza St

Saint Augustine, FL 320804524

Telephone 4793722995
Associated Practice Facility / Clinic
🏢 Matrescence Method Llc Facility NPI 1396664595

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Saint Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Saint Augustine, FL (8046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-12
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License FL OT27189

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
S (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 12, 2026

Registered at 205 CABEZA ST, SAINT AUGUSTINE, FL 320804524 (Tel: 4793722995)

📍
Updated Business Mailing Address July 12, 2026

Registered at 205 CABEZA ST, SAINT AUGUSTINE, FL 320804524

👤
Provider Name / Credentials Updated July 12, 2026

Recorded as TAYLOR LEE-WAMBOLT

NPI Profile Active May 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2019

Registered at 823 DUNLAWTON AVE, PORT ORANGE, FL 321274220 (Tel: 3523328588)

📍
Updated Business Mailing Address May 01, 2019

Registered at 2035 SW 75TH ST STE B, GAINESVILLE, FL 326073425

👤
Provider Name / Credentials Updated May 01, 2019

Recorded as TAYLOR LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration May 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700440120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2019
Last Update: July 12, 2026
Sole Proprietor: No

Mailing Address

205 Cabeza St

Saint Augustine, FL 320804524

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.