Individual provider Active NPI

Taylor Phillips, PT

  • Physical Therapist
  • Cookeville, TN
National Provider Identifier
1386093797
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10903 Issued in TN
Practice address
444 One Eleven PL
Cookeville, TN 38506-4358
Phone
(931) 525-6655
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 10903 TN Primary

Addresses

Primary practice location

444 One Eleven PL
Cookeville, TN 38506-4358

Mailing address

105 Greek Dr
Monterey, TN 38574-1504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006001608 TN Practitioner - Physical Therapist in Private Practice 0345648390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

1020 Charlie Daniels Pkwy
Mount Juliet, TN 37122-3064
Phone (877) 367-9772

1030 S Maple Ave
Cookeville, TN 38501-4061
Phone (931) 271-9490

108 Miss B Blvd
Gallatin, TN 37066-4568
Phone (615) 380-4695

1176 Warfield Blvd
Clarksville, TN 37043-6005
Phone (877) 367-9772

1250 Cedar Hills Dr
Cookeville, TN 38506-4347
Phone (931) 223-4862

300 Celebration Cir
Franklin, TN 37067-1401
Phone (615) 274-9107

6961 Hwy 70 S
Nashville, TN 37221-2204
Phone (844) 502-7996

7015 Moores LN
Brentwood, TN 37027-2902
Phone (615) 412-8804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10903TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

1020 Charlie Daniels Pkwy
Mt Juliet, TN 37122
Phone (615) 758-4800

Organizations & group practices 2

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1386093797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GREEK DR",
            "city": "MONTEREY",
            "state": "TN",
            "postal_code": "385741504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ONE ELEVEN PL",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064358",
            "telephone_number": "931-525-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TAYLOR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.