Active NPI
Stephanie Taylor, P.T.
- Orthopedic Physical Therapist
- Columbia, SC
National Provider Identifier
1275610057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5357
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA0686 | Medicaid | SC | |
| 5357 | Other | SC | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy Group, LLC | Current | Accepting new patients | |
| Therapydia of Washington PC | Orthopedic | Past | 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.
-
- Physical Therapy Clinic/Center
- Tacoma, WA
- NPI 1821256298
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.