Individual provider Active NPI

Taylor Mowat Byers, PT

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1164696340
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-016335 Issued in IL
Practice address
1315 Macom Dr
Ste 105/108
Naperville, IL 60564-9358
Phone
(630) 369-8585
Fax
(630) 369-8581
NPI assigned
Apr 17, 2008
Last updated
May 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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 070-016335 IL Primary

Addresses

Primary practice location

1315 Macom Dr
Ste 105/108
Naperville, IL 60564-9358

Mailing address

100 E Walton St
Ste 700
Chicago, IL 60611-1448
Phone (312) 642-3963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080523000521 IL Practitioner - Physical Therapist in Private Practice 1557430048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Achieve Orthopedic Sports Institute LLCGroup PAC ID 6507129673, 10 clinicians

Practice addresses (Care Compare)

7055 High Grove Blvd
Burr Ridge, IL 60527-7628
Phone (630) 371-1623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-016335ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Orthopedic Rehabilitation Institute,Inc Physical Therapist CurrentSince Feb 6, 2014 Accepting new patients
Achieve Orthopedic Sports Institute, LLC CurrentSince Jan 21, 2018 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Past Accepting new patients
Elmhurst Olympic Service Corporation Physical Therapist PastSince Sep 6, 2006 Accepting new patients

Locations

7055 High Grove Blvd
Burr Ridge, IL 60527
Phone (630) 371-1623

100 E Walton St
Ste 700
Chicago, IL 60611
Phone (312) 642-3963

1315 Macom Dr
Ste 105
Naperville, IL 60564
Phone (331) 213-7247

1315 Macom Dr
Ste 105108
Naperville, IL 60564
Phone (331) 213-7247

9121 159th St
Orland Hills, IL 60487
Phone (630) 371-1623

760 Pasquinelli Dr
Ste 304
Westmont, IL 60559
Phone (630) 371-1623

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1164696340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WALTON ST",
            "address_2": "STE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111448",
            "telephone_number": "312-642-3963",
            "fax_number": "312-642-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR",
            "address_2": "STE 105/108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649358",
            "telephone_number": "630-369-8585",
            "fax_number": "630-369-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERS",
        "first_name": "TAYLOR",
        "middle_name": "MOWAT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-016335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.