Active NPI
Taylor P Greenhaw, PTA
- Rehabilitation Practitioner
- Copperas Cove, TX
National Provider Identifier
1235836727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 2149058
- Practice address
- 3010 E Business 190 Unit 224
Copperas Cove, TX 76522-2521 - Phone
- (254) 577-4938
- NPI assigned
- Feb 14, 2023
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 2149058 | TX | Primary |
Addresses
Primary practice location
3010 E Business 190 Unit 224
Copperas Cove, TX 76522-2521
Mailing address
3010 E Business 190 Unit 224
Copperas Cove, TX 76522-2521
Phone (254) 577-4938
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2149058 | TX | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1235836727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 E BUSINESS 190 UNIT 224",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765222521",
"telephone_number": "254-577-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 E BUSINESS 190 UNIT 224",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765222521",
"telephone_number": "254-577-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENHAW",
"first_name": "TAYLOR",
"middle_name": "P",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "TX",
"license": "2149058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Copperas Cove, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.