Individual provider Active NPI

Taylor Sloat

  • Physical Therapist
  • San Anselmo, CA
National Provider Identifier
1316532567
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300012 Issued in CA
Practice address
220 Greenfield Ave
San Anselmo, CA 94960-2416
Phone
(415) 457-4454
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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 300012 CA Primary

Addresses

Primary practice location

220 Greenfield Ave
San Anselmo, CA 94960-2416

Mailing address

220 Greenfield Ave
San Anselmo, CA 94960-2416
Phone (415) 457-4454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210412001331 CA Practitioner - Physical Therapist in Private Practice 0648688630 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mac Performance Physical Therapy IncGroup PAC ID 7810365608, 15 clinicians

Practice addresses (Care Compare)

691 E Bidwell St
Folsom, CA 95630-3120
Phone (916) 572-6162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sport & Spine Therapy of Marin Inc Physical Therapist CurrentSince Mar 5, 2021 Accepting new patients
Sport & Spine Therapy of Marin Inc Physical Therapist Current Accepting new patients
Mac Performance Physical Therapy Inc Physical Therapist CurrentSince Apr 18, 2023 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Nov 10, 2021 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Nov 10, 2021 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

691 E Bidwell St
Folsom, CA 95630
Phone (916) 572-6162

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

88 Rowland Way
Ste 250
Novato, CA 94945
Phone (415) 484-1163

3727 Bradview Dr
Sacramento, CA 95827
Phone (916) 362-7962

3727 Bradview Dr
Ste 90
Sacramento, CA 95827

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

220 Greenfield Ave
San Anselmo, CA 94960
Phone (415) 457-4454

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1316532567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 GREENFIELD AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602416",
            "telephone_number": "415-457-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GREENFIELD AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602416",
            "telephone_number": "415-457-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAT",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.