Individual provider Active NPI

Taylor Luibrand, DPT

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1174246763
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4703 Pacific Hwy E Ste B
Tacoma, WA 98424-2620
Phone
(253) 926-8202
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 11469 SC
Physical Therapist 225100000X PT017101 GA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4703 Pacific Hwy E Ste B
Tacoma, WA 98424-2620

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

10626 Clemson Blvd
Seneca, SC 29678-4526
Phone (864) 482-0085

Other practice location 2

1312 W Arch Haven Ave Ste E
Bloomington, IN 47403-2088
Phone (812) 336-8406

Other practice location 3

3647 Browns Bridge Rd Ste 105B
Cumming, GA 30028-4188
Phone (678) 208-3188

Other practice location 4

2 Doctors Dr
Greenville, SC 29605-4265
Phone (864) 558-8955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221111002335 SC Practitioner - Physical Therapist in Private Practice 9830566363 Reassigns benefits to 1 organization
I20240709003639 GA Practitioner - Physical Therapist in Private Practice 9830566363 Reassigns benefits to 1 organization
I20251110000978 WA Practitioner - Physical Therapist in Private Practice 9830566363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

10879 Clemson Blvd
Seneca, SC 29678-1303
Phone (864) 482-0085

4703 Pacific Hwy E
Suite B
Fife, WA 98424-2620
Phone (253) 926-8202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11469SCMDGeneral Practice Dentistry
PT017101GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy LLC CurrentSince Aug 9, 2022 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Aug 9, 2022 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
MCM Rehabilitation LLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

5748 Old Winder Hwy
Ste 400500
Braselton, GA 30517
Phone (678) 866-4312

5748 Old Winder Hwy
Ste 400
Braselton, GA 30517

3647 Browns Bridge Rd
Ste 105B
Cumming, GA 30028
Phone (678) 208-3188

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cr
Chicago, IL 60674

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

1051 Stamp Creek Rd
Salem, SC 29676
Phone (864) 944-5146

10879 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0085

10626 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0064

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

21806 103rd Avenue Ct E
Ste 103
Graham, WA 98338
Phone (253) 847-3700

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

4703 Pacific Hwy E
#B
Tacoma, WA 98424
Phone (253) 926-8202

Organizations & group practices 6

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1174246763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 PACIFIC HWY E STE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984242620",
            "telephone_number": "253-926-8202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10626 Clemson Blvd",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296784526",
            "country_code": "US",
            "telephone_number": "864-482-0085",
            "fax_number": "864-482-0072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1312 W Arch Haven Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032088",
            "country_code": "US",
            "telephone_number": "812-336-8406",
            "fax_number": "812-336-8342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3647 Browns Bridge Rd Ste 105B",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300284188",
            "country_code": "US",
            "telephone_number": "678-208-3188",
            "fax_number": "678-543-0450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054265",
            "country_code": "US",
            "telephone_number": "864-558-8955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUIBRAND",
        "first_name": "TAYLOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "SC",
            "license": "11469",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017101",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.