Active NPI
Ruth N Taylor, PT
- Physical Therapist
- Montgomery, TX
National Provider Identifier
1174020507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1152550
- Practice address
- 20873 Eva St Ste C
Montgomery, TX 77356-1975 - Phone
- (936) 520-0364
- NPI assigned
- Apr 11, 2018
- Last updated
- Apr 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1152550 | TX | Primary |
Addresses
Primary practice location
20873 Eva St Ste C
Montgomery, TX 77356-1975
Mailing address
15575 Marina Dr Unit 236B
Montgomery, TX 77356-2865
Phone (936) 520-0364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1152550 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1174020507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15575 MARINA DR UNIT 236B",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773562865",
"telephone_number": "936-520-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20873 EVA ST STE C",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773561975",
"telephone_number": "936-520-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "RUTH",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-11",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1152550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.