Individual provider Active NPI

Brooklyn Leigh Taylor, PT DPT

  • Physical Therapist
  • Batesville, AR
National Provider Identifier
1104988674
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2925 Issued in AR
Practice address
2080 Harrison St Ste a
Batesville, AR 72501
Phone
(870) 569-8167
Fax
(870) 277-0896
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2925 AR Primary

Addresses

Primary practice location

2080 Harrison St Ste a
Batesville, AR 72501

Mailing address

2080 Harrison St Ste a
Batesville, AR 72501-7447
Phone (870) 569-8167

Other names 1

  • Brooklyn Leigh Wilroy Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000926 AR Practitioner - Physical Therapist in Private Practice 3274627336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gross Therapy Services IncGroup PAC ID 5991072050, 45 clinicians

Practice addresses (Care Compare)

117 Riverlodge Dr
Mountain Home, AR 72653-2630
Phone (870) 404-5299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2925ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Therapy Services, Inc. Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Noel Physical Therapy & Sports Medicine Inc Physical Therapist Past Accepting new patients
Melbourne Therapy Clinic Inc PastSince Apr 1, 2009 Accepting new patients

Locations

2080 Harrison St
Ste A
Batesville, AR 72501
Phone (870) 569-8167

Organizations & group practices 3

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1104988674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 HARRISON ST STE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017447",
            "telephone_number": "870-569-8167",
            "fax_number": "870-277-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 HARRISON ST STE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "72501",
            "telephone_number": "870-569-8167",
            "fax_number": "870-277-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BROOKLYN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKLYN",
            "last_name": "WILROY",
            "middle_name": "LEIGH",
            "credential": "PT DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.