Active NPI
Tamra Kay Taylor, PT
- Physical Therapist
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002601A
- Practice address
- 1628 W Beardsley Ave
Elkhart, IN 46514-1881 - Phone
- (574) 293-9420
- Fax
- (574) 295-8141
- NPI assigned
- Aug 19, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05002601A | IN | Primary |
Addresses
Primary practice location
1628 W Beardsley Ave
Elkhart, IN 46514-1881
Mailing address
PO Box 65
Middlebury, IN 46540-0065
Phone (574) 293-9420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2310 California Rd
Elkhart, IN 46514-1228
Phone (574) 264-0791
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic and Sports Medicine Center of Northern Indiana, Inc | Current | Accepting new patients | |
| Orthopedic and Sports Medicine Center of Northern Indiana, Inc | Current | Accepting new patients | |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| ASC Surgical Ventures, LLC | Past | Accepting new patients |
Locations
2310 California Rd
Ste A
Elkhart, IN 46514
Phone (574) 206-1401
2310 California Rd
Elkhart, IN 46514
Phone (574) 264-0791
1720 Fulton St
Elkhart, IN 46514
1775 E Kercher Rd
Goshen, IN 46526
Phone (574) 533-0300
600 N Main St
Middlebury, IN 46540
Phone (574) 825-8685
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Elkhart, IN
- NPI 1710085253
-
- Physical Therapist
- Avon, IN
- NPI 1174275283
-
- Durable Medical Equipment & Medical Supplies
- Granger, IN
- NPI 1962170357
-
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
-
- Ambulatory Surgical Clinic/Center
- Elkhart, IN
- NPI 1083715148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1255445656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65",
"city": "MIDDLEBURY",
"state": "IN",
"postal_code": "465400065",
"telephone_number": "574-293-9420",
"fax_number": "574-295-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 W BEARDSLEY AVE",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141881",
"telephone_number": "574-293-9420",
"fax_number": "574-295-8141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TAMRA",
"middle_name": "KAY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002601A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.