NPIMap

Organization Active NPI

Taylor Physical Therapy Assoc. LLC

  • Speech-Language Pathologist
  • Waverly, IA
National Provider Identifier
1083474100
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TAYLOR PHYSICAL THERAPY ASSOC. LLC
Practice address
1661 3Rd St. SW
Waverly, IA 50677
Phone
(319) 483-1375
Fax
(319) 559-4245
NPI assigned
Mar 19, 2024
Organization subpart
Yes
Parent organization
TAYLOR PHYSICAL THERAPY ASSOCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Jerod Gayer, DPT
Title
Owner
Phone
(319) 352-5644

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1661 3Rd St. SW
Waverly, IA 50677

Mailing address

1306 Hwy 57
Suite B
Parkersburg, IA 50665
Phone (319) 346-9783

Other names 1

  • Taylor Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Taylor Physical Therapy LLC8 organizations share this tax ID, including this one
Part of
Taylor Physical Therapy LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 Tower St
Denver, IA 50622
Phone (319) 406-0185

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1083474100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HWY 57",
            "address_2": "SUITE B",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "50665",
            "telephone_number": "319-346-9783",
            "fax_number": "319-346-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 3RD ST. SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-483-1375",
            "fax_number": "319-559-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR PHYSICAL THERAPY ASSOC. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAYLOR PHYSICAL THERAPY ASSOC",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "GAYER",
        "authorized_official_first_name": "JEROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-352-5644",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.