Taylor McCarty – Physical Therapist in Benton, LA

Key facts

NPI: 1265041206
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 09907 (LA)
Practice address: 185 Burt Blvd Ste B
Benton, LA 71006-4904
Phone: (318) 935-9075
NPI assigned: Jul 27, 2020
Sex: Female
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.

Benton Physical Therapy, LLC Physical Therapy Clinic/Center · Benton, LA · NPI 1972013969

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
09907	LA	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Benton Physical Therapy, LLC		Current since Aug 1, 2020	Accepting new patients

Locations

235 Fairburn Ave
Benton, LA 71006
Phone (318) 935-9075

185 Burt Blvd
Ste B
Benton, LA 71006
Phone (318) 935-5007

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	09907	LA	Yes

Addresses

Primary practice location

185 Burt Blvd Ste B
Benton, LA 71006-4904

Mailing address

185 Burt Blvd Ste B
Benton, LA 71006-4904
Phone (318) 935-9075

Other providers in Benton, LA

All providers in Benton, LA · Physical Therapist in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.