Individual provider Active NPI

Tamra Kay Taylor, PT

  • Physical Therapist
  • Elkhart, IN
National Provider Identifier
1255445656
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05002601A Issued in IN
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

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20060105000460 IN Practitioner - Physical Therapist in Private Practice 3779506720 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 6, 2023 Accepting new patients
Orthopedic and Sports Medicine Center of Northern Indiana, Inc CurrentSince Dec 30, 2025 Accepting new patients
Orthopedic and Sports Medicine Center of Northern Indiana, Inc CurrentSince Dec 30, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 6, 2023 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.

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.

Verify at the official NPI Registry.