Jason Daniel Taylor, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4503 Issued in NM

Practice address

2312 S 6TH St Ste B
Klamath Falls, OR 97601-4340

Phone

(541) 236-2123

Fax

(888) 706-1637

NPI assigned

Aug 5, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Out Loud LLCGroup PAC ID 3375957293, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Life Out Loud, LLC

  dba Elevate Physical Therapy Fitness and Performance

  • Physical Therapist
  • Klamath Falls, OR
  • NPI 1952947616
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1356750244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 PINE GROVE RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976038936",
            "telephone_number": "541-236-2123",
            "fax_number": "888-706-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S 6TH ST STE B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014340",
            "telephone_number": "541-236-2123",
            "fax_number": "888-706-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON PHYSICAL THERAPIST LICENSING BOARD",
            "identifier": "61778",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oliver Todd Tamis, DO
• Deborah Tappan
• Tater Tots Pediatric Therapy
• Tayas Yawks
• Alexandra Grace Taylor
• Jerod Lee Taylor, IDMT
• Karen Taylor, BS, CADC I
• Kayla Taylor, PT
• Kristine Lynn Taylor, DC
• Lawrence Robert Taylor III, DC

• Physical Therapist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.