Organization Active NPI

Taylor Physical Therapy Assoc. LLC

Doing business as Taylor Physical

  • Physical Therapist
  • Waverly, IA
National Provider Identifier
1033803002
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TAYLOR PHYSICAL THERAPY ASSOC. LLC
Doing business as
Taylor Physical
Practice address
1203 W. Bremer Ave
Waverly, IA 50677
Phone
(319) 559-2442
Fax
(319) 559-2443
NPI assigned
Jun 5, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TAYLOR PHYSICAL THERAPY ASSOC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Jerod Gayer, DPTNPI 1437259512
Title
Owner
Phone
(319) 352-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

1203 W. Bremer Ave
Waverly, IA 50677

Mailing address

1306 Hwy 57
Suite B
Parkersburg, IA 50665
Phone (319) 346-9783

Other names 1

  • Taylor Physical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Taylor Physical Therapy Assoc LLC8 organizations share this tax ID, including this one
Part of
Taylor Physical Therapy Assoc LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1203 W Bremer Ave
Waverly, IA 50677
Phone (319) 559-2442

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1033803002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HWY 57",
            "address_2": "SUITE B",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "50665",
            "telephone_number": "319-346-9783",
            "fax_number": "319-346-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 W. BREMER AVE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-559-2442",
            "fax_number": "319-559-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR PHYSICAL THERAPY ASSOC. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAYLOR PHYSICAL THERAPY ASSOC.",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A",
        "authorized_official_last_name": "GAYER",
        "authorized_official_first_name": "JEROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-352-5644",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Physical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.