William Anthony Taylor, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2204 Issued in AR

Practice address

1214 Salem Road
Suite a
Benton, AR 72019

Phone

(501) 915-4354

NPI assigned

Oct 5, 2021

Last updated

Oct 5, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1033881354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1564",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720181564",
            "telephone_number": "501-352-1874",
            "fax_number": "501-457-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 SALEM ROAD",
            "address_2": "SUITE A",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72019",
            "telephone_number": "501-915-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "WILLIAM",
        "middle_name": "ANTHONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wtmed1305@sbcglobal.net",
            "affiliation": "N",
            "address_1": "1214 Salem Road",
            "address_2": "Suite A",
            "city": "Benton",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deandre Lavell Taybore
• Niesha Taybore, RECOVERY ASSISTANT
• Brittany Taylor, RECOVERY ASSISTANT
• Edward Taylor, RECOVERY ASSISTANT
• Patricia Taylor
• Jessica Teague, RECOVERY ASSISTANT
• Austin Teal
• Natara L Tedder, RECOVERY ADVOCATE
• Joshua Teel, RECOVERY ASSISTANT
• Garry Dean Teeter

• Physical Therapist in Benton, AR
• Providers in Benton, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.