Taylor Peters, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP022098T Issued in GA

Practice address

12415 N Main Street
Trenton, GA 30752

Phone

(706) 657-2700

Fax

(706) 657-7965

NPI assigned

May 25, 2023

Last updated

Jun 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • La Fayette, GA
  • NPI 1871738872
  NPD

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1194417295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620528",
            "telephone_number": "706-528-4207",
            "fax_number": "706-528-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12415 N MAIN STREET",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "30752",
            "telephone_number": "706-657-2700",
            "fax_number": "706-657-7965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13423 Highway 27 Ste A",
            "address_purpose": "LOCATION",
            "city": "Trion",
            "state": "GA",
            "postal_code": "307531556",
            "country_code": "US",
            "telephone_number": "706-696-0505",
            "fax_number": "706-696-0506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Pearl Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "LA Fayette",
            "state": "GA",
            "postal_code": "307287510",
            "country_code": "US",
            "telephone_number": "706-638-3880",
            "fax_number": "706-638-3890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1711 Martha Berry Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301651623",
            "country_code": "US",
            "telephone_number": "706-528-4207",
            "fax_number": "706-528-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "TAYLOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14942",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP022098T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Hall Nunn, PHARMD
• Tyler James O'Toole, PT
• Frederic Oehlschlaeger
• R. Chad Owens, D.M.D.
• Michele Holifield Page, FNP-C
• Physical Therapy Associates of Chattanooga, Inc. (Trenton Physical Therapy)
• Ponder Pharmacy Inc (Ponder Pharmacy)
• Premiere Senior Care, LLC (A Premiere Senior Care)
• Price Pharmacy Inc (Price Pharmacy)
• Primary Health Care Center of Dade, Inc.

• Physical Therapist in Trenton, GA
• Providers in Trenton, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.