NPIMap

Individual provider Active NPI

Taylor Marshall Simmons, DPT

  • Physical Therapist
  • Fort Mill, SC
National Provider Identifier
1053892893
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9705 Issued in SC
Practice address
601 Sutton Rd S
Fort Mill, SC 29715-8439
Phone
(803) 909-6447
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P20822 NC
Physical Therapist 225100000X 9705 SC Primary

Addresses

Primary practice location

601 Sutton Rd S
Fort Mill, SC 29715-8439

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Other practice location 1

15825 Ballantyne Medical Pl Ste 120
Charlotte, NC 28277-4790
Phone (704) 323-3409

Other practice location 2

1504 Carolina Pl Ste 114
Fort Mill, SC 29708-7058
Phone (803) 349-3449

Other identifiers 1

IdentifierTypeStateIssuer
0397730019OtherNCNSC#

Other names 1

  • Taylor Anne Marshall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190826001875 SC Practitioner - Physical Therapist in Private Practice 4284962424 Reassigns benefits to 3 organizations
I20220916002136 NC Practitioner - Physical Therapist in Private Practice 4284962424 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Therapy Corp. Physical Therapist CurrentSince Aug 11, 2022 Accepting new patients
Spider Sports Therapy, LLC Current Accepting new patients
Core Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Georgialina Physical Therapy Associates LLC Physical Therapist PastSince Dec 15, 2025 Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients

Locations

9347 Founders St
#A
Fort Mill, SC 29708
Phone (716) 465-0883

Interoperability endpoints

  • Direct secure messaging: taylor.simmons.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1053892893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SUTTON RD S",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158439",
            "telephone_number": "803-909-6447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15825 Ballantyne Medical Pl Ste 120",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282774790",
            "country_code": "US",
            "telephone_number": "704-323-3409",
            "fax_number": "704-323-3982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 Carolina Pl Ste 114",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297087058",
            "country_code": "US",
            "telephone_number": "803-349-3449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TAYLOR",
        "middle_name": "MARSHALL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20822",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC#",
            "identifier": "0397730019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "MARSHALL",
            "middle_name": "ANNE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.