Individual provider Active NPI

Stephanie Taylor, P.T.

  • Orthopedic Physical Therapist
  • Columbia, SC
National Provider Identifier
1275610057
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5357 Issued in SC
Practice address
14 Medical Park Dr Suite
Moore Orthopaedic Clinic, P.a.
Columbia, SC 29203
Phone
(803) 227-8000
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5357 SC Primary

Addresses

Primary practice location

14 Medical Park Dr Suite
Moore Orthopaedic Clinic, P.a.
Columbia, SC 29203

Mailing address

PO Box 843446
Healthtouch, LLC
Boston, MA 02284-3446
Phone (803) 227-8009

Other identifiers 2

IdentifierTypeStateIssuer
PA0686MedicaidSC
5357OtherSCPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210413002438 WA Practitioner - Physical Therapist in Private Practice 3971501966 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy Group, LLC CurrentSince Dec 29, 2020 Accepting new patients
Therapydia of Washington PC Orthopedic PastSince Jan 26, 2026 Accepting new patients

Locations

21707 103rd Avenue Ct E
Ste B202
Graham, WA 98338
Phone (253) 655-5841

223 140th St S
Tacoma, WA 98444
Phone (253) 531-5645

223 140th St S
Ste 700
Tacoma, WA 98444
Phone (253) 531-5645

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275610057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843446",
            "address_2": "HEALTHTOUCH, LLC",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843446",
            "telephone_number": "803-227-8009",
            "fax_number": "803-227-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MEDICAL PARK DR SUITE",
            "address_2": "MOORE ORTHOPAEDIC CLINIC, P.A.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-227-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEPHANIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "5357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA0686",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "5357",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.