Individual provider Active NPI

Wiilliam Marcus Taylor, PT

  • Orthopedic Physical Therapist
  • Shaker Heights, OH
National Provider Identifier
1053347872
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
9537 Issued in OH
Practice address
3461 Warrensville Center Rd
Suite 201
Shaker Heights, OH 44122-5260
Phone
(216) 233-3412
NPI assigned
Jun 23, 2006
Last updated
Sep 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 9537 OH Primary

Addresses

Primary practice location

3461 Warrensville Center Rd
Suite 201
Shaker Heights, OH 44122-5260

Mailing address

3461 Warrensvillle Center Road
Suite 201
Shaker, OH 44122-4100
Phone (216) 233-3412

Other identifiers 1

IdentifierTypeStateIssuer
2452171MedicaidOH

Other names 1

  • W. Marcus Taylor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000227 OH Practitioner - Physical Therapist in Private Practice 4688568892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4949 Galaxy Pkwy
Suite S
Warrensville Heights, OH 44128-5959
Phone (216) 505-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9537OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Physical Therapy and Sports Health, LLC CurrentSince Jun 1, 2015 Accepting new patients
Sports and Spine Physical Therapy NC Inc Orthopedic PastSince May 5, 2006 Accepting new patients

Locations

3461 Warrensville Center Rd
Ste 201
Shaker Heights, OH 44122
Phone (216) 561-3303

4949 Galaxy Pkwy
Ste S
Warrensville Heights, OH 44128
Phone (216) 505-8500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1053347872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLLE CENTER ROAD",
            "address_2": "SUITE 201",
            "city": "SHAKER",
            "state": "OH",
            "postal_code": "441224100",
            "telephone_number": "216-233-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 201",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225260",
            "telephone_number": "216-233-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "WIILLIAM MARCUS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "9537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2452171",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W. MARCUS",
            "last_name": "TAYLOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.