Natasha Angtuokuu Taylor, PT, MS OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501013500 Issued in MI

Practice address

6403 Woodside CT
Van Buren Township, MI 48111-5142

Phone

(734) 644-3293

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Natasha Angtuokuu Bacheyie Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Black Star Physical Therapy and Wellness LLC

  • Orthopedic Physical Therapist
  • Van Buren Township, MI
  • NPI 1467284612
  Medicare reassignment NPD Authorized official
• Club Staffing

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1568652972
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1033325451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875097",
            "telephone_number": "716-523-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 WOODSIDE CT",
            "city": "VAN BUREN TOWNSHIP",
            "state": "MI",
            "postal_code": "481115142",
            "telephone_number": "734-644-3293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 N Canton Center Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481875097",
            "country_code": "US",
            "telephone_number": "716-523-8116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 Broken Sound Pkwy NW",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334872773",
            "country_code": "US",
            "telephone_number": "561-367-1175",
            "fax_number": "561-417-7443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NATASHA",
        "middle_name": "ANGTUOKUU",
        "credential": "PT, MS OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026531-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P10439",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501013500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "BACHEYIE",
            "middle_name": "ANGTUOKUU",
            "credential": "PT, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kai Riley
• Janna Patrice Roberts, LLMSW
• India Schumake, LPC
• Mohammad Mahmoud Shryim
• Strickland Wellness Services PLLC
• Diksha Thapa
• Unicare Home Services LLC
• Wal-Mart Stores East, LP
• Kina Warfordf, LPN
• Wellnexs Care Inc

• Orthopedic Physical Therapist in Van Buren Township, MI
• Providers in Van Buren Township, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.