Zachary Kyle Taillie, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0015536 Issued in CO

Practice address

12090 W 50TH PL
Wheat Ridge, CO 80033-2049

Phone

(970) 316-2691

NPI assigned

Aug 21, 2018

Last updated

Jan 14, 2020By the provider in NPPES

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 CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpine Physical Therapy and Sports PerformanceGroup PAC ID 4688000615, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Alpine Physical Therapy and Sports Performance

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1972141844

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physio Pro, Inc.

  • Physical Therapist
  • Denver, CO
  • NPI 1710185830
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1013497858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12090 W 50TH PL",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12090 W 50TH PL",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332049",
            "telephone_number": "970-316-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAILLIE",
        "first_name": "ZACHARY",
        "middle_name": "KYLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Taber, RPH
• Table Mountain Foot and Ankle PC
• Leslie Tafoya
• Vannesa Barraza Tafoya
• Lincoln Taggart
• Heather Sue Talbot, MFTC, CACII
• Hannah Claire Talkington
• Damien Talley
• Eugene Matthew Tan, MD
• Siuyee Tan, RPH

• Physical Therapist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.