Taylor A Bastian, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9161 Issued in SC

Practice address

142 Sportsman Island Dr Ste F
Charleston, SC 29492-8524

Phone

(843) 377-8820

Fax

(843) 377-8823

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Taylor A Young Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Love of Language

  • Speech-Language Pathologist
  • Mt Pleasant, SC
  • NPI 1184163842
  NPD

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1144713892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N RHETT AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054219",
            "telephone_number": "843-804-9033",
            "fax_number": "843-804-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SPORTSMAN ISLAND DR STE F",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928524",
            "telephone_number": "843-377-8820",
            "fax_number": "843-377-8823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5111 N Rhett Ave",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294054219",
            "country_code": "US",
            "telephone_number": "843-804-9033",
            "fax_number": "843-804-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTIAN",
        "first_name": "TAYLOR",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "YOUNG",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "TAYLOR A YOUNG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bailey Bradford Bass, PHARMD
• Eric Clinton Bass, D.O.
• Lauren Marie Bass
• Eric Pierce Bassett, DC
• Lee Young Bastian, APRN
• Nicholas Ike Batalis, M.D.
• Nikhita Batchu, MBBS
• Ricky Bateh
• Laura Bates, NP
• Rachel Holland Bates, MS, RD, LD

• All providers in Charleston, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.