Taylor Siagha, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

29679 Issued in FL

Practice address

7101 Altis Way # 11201
Orlando, FL 32836-6850

Phone

(973) 903-8860

NPI assigned

Aug 16, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1053967703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 ALTIS WAY # 11201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366850",
            "telephone_number": "973-903-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 ALTIS WAY # 11201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366850",
            "telephone_number": "973-903-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAGHA",
        "first_name": "TAYLOR",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "29679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L. Shure, M.D.
• Kristine Renee Shuryan, PA-C
• Elizabeth Ann Shutt, PH.D.
• Shyri'S Beyoutifull L.L.C
• Nancy Si, MD
• Chrysanthi Siarkas, PMHNP
• Pumla Sibanda
• Siblary W7 Corp
• Jennifer A Sibley, ARNP
• Sharon Marie Sibley, APRN

• Physical Therapy Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.