Active NPI
Taylor Schultz
- Physical Therapist
- Holly, MI
National Provider Identifier
1043761893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017946
- Practice address
- 1016 N Saginaw St
Holly, MI 48442-1379 - Phone
- (248) 634-4424
- Fax
- (248) 634-5995
- NPI assigned
- Oct 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501017946 | MI | Primary |
Addresses
Primary practice location
1016 N Saginaw St
Holly, MI 48442-1379
Mailing address
3899 W Front St
Ste 3
Traverse City, MI 49684-8104
Phone (248) 634-4424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432785585597 | Other | MICHIGAN DRIVER'S LICENSE | |
| 5501017946 | Other | PHYSICAL THERAPIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1043761893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3899 W FRONT ST",
"address_2": "STE 3",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496848104",
"telephone_number": "248-634-4424",
"fax_number": "248-634-5995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 N SAGINAW ST",
"city": "HOLLY",
"state": "MI",
"postal_code": "484421379",
"telephone_number": "248-634-4424",
"fax_number": "248-634-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-17",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN DRIVER'S LICENSE",
"identifier": "432785585597",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "5501017946",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Holly, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.