Taylor Michael Lumsden, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2001009060 Issued in MO

Practice address

55 Nesbit Dr
Bonne Terre, MO 63628-1353

Phone

(573) 358-9553

Fax

(844) 815-1320

NPI assigned

Jan 13, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Potential Therapy Services LLCGroup PAC ID 5890065361, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Potential Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Ste Genevieve, MO
  • NPI 1104379353

  MO

  Medicare reassignment Care Compare group
• JBPT, LLC

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1417293119
  NPD (past)
• Mid America Rehab, P.C.

  • Physical Therapist
  • Cape Girardeau, MO
  • NPI 1639143357
  NPD (past)
• Apex Physical Therapy, LLC

  • Specialist
  • Highland, IL
  • NPI 1033166061

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1013247147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NESBIT DR",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281353",
            "telephone_number": "573-358-9553",
            "fax_number": "844-815-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NESBIT DR",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281353",
            "telephone_number": "573-358-9553",
            "fax_number": "844-815-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMSDEN",
        "first_name": "TAYLOR",
        "middle_name": "MICHAEL",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-13",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2001009060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kybama, Inc
• Laura Lahay
• John Paul Lawson Jr., PHARM.D.
• Lauren Emily Lewis, MA
• Theresa L Lumos, LPC
• Maranatha Laura
• Richard C McGraw, LCSW
• McIntyre Chiropractic LLC
• McIntyre Psychological Services
• Lauren Danielle McIntyre, D.C.

• All providers in Bonne Terre, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.