Individual provider Active NPI

Taylor Marie Vining, DPT

  • Physical Therapist
  • Ankeny, IA
National Provider Identifier
1265126122
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
120409 Issued in IA
Practice address
1711 SW Plaza Pkwy
Ankeny, IA 50023-7013
Phone
(515) 417-0074
Fax
(515) 224-5140
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 120409 IA Primary

Addresses

Primary practice location

1711 SW Plaza Pkwy
Ankeny, IA 50023-7013

Mailing address

502 NW 10TH St
Ankeny, IA 50023-4202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230627002136 IA Practitioner - Physical Therapist in Private Practice 3173981974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6001 Westown Pkwy
West Des Moines, IA 50266-7702
Phone (515) 224-1414

Merit-based Incentive Payment System (MIPS)

Final score
72.25 of 100Reported as group
Quality
80.42
Promoting interoperability
39
Improvement activities
40
Cost
77.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines Orthopaedic Surgeons PC CurrentSince Jun 21, 2023 Accepting new patients
Des Moines Orthopaedic Surgeons PC CurrentSince Jun 21, 2023 Accepting new patients

Locations

350 NE 36th St
Ankeny, IA 50021
Phone (515) 224-1414

1711 SW Plaza Pkwy
Ankeny, IA 50023
Phone (515) 417-0074

6001 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-1414

Organizations & group practices 2

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1265126122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 NW 10TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 SW PLAZA PKWY",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237013",
            "telephone_number": "515-417-0074",
            "fax_number": "515-224-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINING",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "120409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.