Taylor Raye Elmore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5060 Issued in AR

Practice address

4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220

Phone

(636) 206-6540

NPI assigned

Sep 30, 2021

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Female

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

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axes Physical Therapy LLCGroup PAC ID 3375840028, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Axes Physical Therapy, LLC

  dba Axes Physical Therapy

  • Physical Therapy Clinic/Center
  • O'Fallon, MO
  • NPI 1003280421

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Axes Physical Therapy I, LLC

  dba Axes Physical Therapy

  • Physical Therapy Clinic/Center
  • Washington, MO
  • NPI 1679032700

  Physical Therapist

  Medicare reassignment NPD
• Axes Physical Therapy I, LLC

  • Prosthetic/Orthotic Supplier
  • Union, MO
  • NPI 1912594243
  NPD
• Axes Physical Therapy, LLC

  dba Axes Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Creve Coeur, MO
  • NPI 1699530931

  Physical Therapist

  NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1053083840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 SPIRIT AIRPARK WEST DR STE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051032",
            "telephone_number": "636-223-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 KEATON CROSSING BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688220",
            "telephone_number": "636-206-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6815 Isaacs Orchard Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727626285",
            "country_code": "US",
            "telephone_number": "479-856-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "TAYLOR",
        "middle_name": "RAYE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Springdale",
            "affiliation": "N",
            "address_1": "6815 Isaacs Orchard Rd Ste D",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727626285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.