Individual provider Active NPI

Clarice Elizabeth Taylor, PHYSICAL THERAPIST

  • Physical Therapist
  • Bel Air, MD
National Provider Identifier
1285696989
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17901 Issued in MD
Practice address
206 S Hays St
Bel Air, MD 21014-3672
Phone
(410) 420-3053
Fax
(443) 640-4632
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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 17901 MD Primary

Addresses

Primary practice location

206 S Hays St
Bel Air, MD 21014-3672

Mailing address

95 Delta Ridge Dr
Delta, PA 17314-7907
Phone (443) 299-8255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812000476 MD Practitioner - Physical Therapist in Private Practice 6800993551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2419 Whiteford Rd
Suite a
Whiteford, MD 21160-1218
Phone (443) 299-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17901MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 18, 2016 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 18, 2016 Accepting new patients
Taylor Physical Therapy, P.C. Physical Therapist CurrentSince Aug 17, 2018 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2021A Emmorton Rd
Ste 110
Bel Air, MD 21015
Phone (410) 515-0006

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

2419 Whiteford Rd
#A
Whiteford, MD 21160
Phone (443) 299-8255

Organizations & group practices 4

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1285696989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 DELTA RIDGE DR",
            "city": "DELTA",
            "state": "PA",
            "postal_code": "173147907",
            "telephone_number": "443-299-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S HAYS ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143672",
            "telephone_number": "410-420-3053",
            "fax_number": "443-640-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CLARICE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.