Wanda Taylor, RPTA

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTA000471 Issued in GA

Practice address

3001 Spring Forest Rd
Raleigh, NC 27616-2815

Phone

(919) 861-2441

Fax

(866) 391-9831

NPI assigned

Apr 20, 2017

Sex

Female

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1104351774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 ROSWELL DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074504",
            "telephone_number": "706-832-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SPRING FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162815",
            "telephone_number": "919-861-2441",
            "fax_number": "866-391-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "WANDA",
        "name_prefix": "Mrs.",
        "credential": "RPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PTA000471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Bernice Wilson Taylor, AGPCNP-BC
• Tonia Lynn Taylor, CPSS
• Trevor Taylor, M.D.
• Tricia Lynn Taylor, CRNA
• Twylaa A Taylor, MSW, LCSWA
• Wesley E Taylor, LCSW
• Taylored Minds Therapy PLLC
• Tcherry Transportation
• Kelly Teabo, PA-C
• Teaching Alternative Strategies and Knowledge Incorporated

• Physical Therapy Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.