Taylor West, PT,DPT

Individual provider Active NPI Physical Therapist · Knoxville, TN

NPI 1245065028 · NPPES record last updated Sep 3, 2024

Key facts

NPI
1245065028
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
15804 (TN)
Practice address
8904A Cross Park Dr
Knoxville, TN 37923-4703
Phone
(865) 252-4000
NPI assigned
Sep 3, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marino Physiotherapy, LLC (5 clinicians)

Practice addresses (Care Compare)

9000 Executive Park Dr
Suite C150
Knoxville, TN 37923-4686
Phone (865) 236-0340

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250415001291 TN Practitioner - Physical Therapist in Private Practice 6406371251 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Marino Physiotherapy, LLC Current
since Sep 16, 2024
Accepting new patients

Locations

8904 Cross Park Dr
Ste A
Knoxville, TN 37923
Phone (865) 236-0340

9000 Executive Park Dr
Ste C150
Knoxville, TN 37923
Phone (865) 236-0340

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15804 TN Yes

Addresses

Primary practice location

8904A Cross Park Dr
Knoxville, TN 37923-4703

Mailing address

10625 Castlepointe Way # 6-208
Knoxville, TN 37932-2550

Other providers in Knoxville, TN

All providers in Knoxville, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.