Ambria Shae Taylor, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-015209 Issued in AZ

Practice address

1440 S Country Club Dr Ste 19
Mesa, AZ 85210-9704

Phone

(480) 629-5592

NPI assigned

Sep 17, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1306758149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 S LONGMORE APT 1018",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024339",
            "telephone_number": "574-607-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S COUNTRY CLUB DR STE 19",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852109704",
            "telephone_number": "480-629-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMBRIA",
        "middle_name": "SHAE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-015209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katelin Tavrytzky
• Ibrahim G. N. Taweel, MD
• Shir Tay, MD
• Taylor & Woolf, P.a.
• Alana Rose Taylor, PA-S
• Christina Taylor
• Christopher Gene Taylor
• Connie Taylor
• Derek J. Taylor, PA-C
• Dianna Taylor, APRN

• Physical Therapy Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.