Organization Active NPI

Taylor Physical Therapy and Sports Health, LLC

  • Physical Therapy Clinic/Center
  • Cleveland, OH
National Provider Identifier
1013396829
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
009537 Issued in OH
Legal business name
TAYLOR PHYSICAL THERAPY AND SPORTS HEALTH, LLC
Practice address
4949 Galaxy Pkwy
Suite S
Cleveland, OH 44128-5970
Phone
(216) 505-8500
Fax
(216) 586-3886
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Dr. William Marcus Taylor, DPT
Title
Ceo
Phone
(216) 505-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 009537 OH Primary

Addresses

Primary practice location

4949 Galaxy Pkwy
Suite S
Cleveland, OH 44128-5970

Mailing address

PO Box 1083
Twinsburg, OH 44087-9083
Phone (216) 505-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150723007783 OH Part B Supplier - Clinic/Group Practice 7911210638 Receives reassigned benefits from 1 practitioner
Practice locations: Warrensville Heights, OH

National Provider Directory

National Provider Directory

Locations

4949 Galaxy Pkwy
Ste S
Warrensville Heights, OH 44128
Phone (216) 505-8500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1013396829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1083",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440879083",
            "telephone_number": "216-505-8500",
            "fax_number": "216-586-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 GALAXY PKWY",
            "address_2": "SUITE S",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285970",
            "telephone_number": "216-505-8500",
            "fax_number": "216-586-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR PHYSICAL THERAPY AND SPORTS HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-505-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "009537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.