Individual provider Active NPI

Joshua Taylor

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1386033975
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9607 Issued in TN
Practice address
871 Ridgeway Loop Rd
Memphis, TN 38120-4038
Phone
(901) 759-1282
NPI assigned
Jan 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 9607 TN Primary

Addresses

Primary practice location

871 Ridgeway Loop Rd
Memphis, TN 38120-4038

Mailing address

871 Ridgeway Loop Rd
Memphis, TN 38120-4038
Phone (901) 759-1282

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL myrehabetc.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240517000641 TN Practitioner - Physical Therapist in Private Practice 6901247279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Smith Clinic for Physical TherapyGroup PAC ID 1456253715, 3 clinicians

Practice addresses (Care Compare)

8110 Cordova Rd
Suite 107
Cordova, TN 38016-0521
Phone (901) 756-1650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9607TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Smith Clinic for Physical Therapy Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients

Locations

8110 Cordova Rd
Ste 107
Cordova, TN 38016
Phone (901) 756-1650

Organizations & group practices 1

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": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1386033975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 RIDGEWAY LOOP RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204038",
            "telephone_number": "901-759-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 RIDGEWAY LOOP RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204038",
            "telephone_number": "901-759-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-20",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "myrehabetc.com",
            "affiliation": "N",
            "address_1": "871 Ridgeway Loop Rd",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381204038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.