Organization Active NPI

Saylor Physical Therapy Huntersville LLC

  • Physical Medicine & Rehabilitation Physician
  • Huntersville, NC
National Provider Identifier
1235845967
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SAYLOR PHYSICAL THERAPY HUNTERSVILLE LLC
Practice address
13620 Reese Blvd E Ste 130
Huntersville, NC 28078-6418
Phone
(561) 670-0756
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Jaclyn Fisher
Title
Credentialing
Phone
(704) 832-5383

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

13620 Reese Blvd E Ste 130
Huntersville, NC 28078-6418

Mailing address

13620 Reese Blvd E Ste 130
Huntersville, NC 28078-6418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231019003778 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890141352 Receives reassigned benefits from 7 practitioners
Practice locations: Huntersville, NC

National Provider Directory

National Provider Directory

Locations

13620 Reese Blvd E
Ste 130
Huntersville, NC 28078
Phone (704) 274-5795

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1235845967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 REESE BLVD E STE 130",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 REESE BLVD E STE 130",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786418",
            "telephone_number": "561-670-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYLOR PHYSICAL THERAPY HUNTERSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "704-832-5383"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.