Active NPI
Kimberly Rose Taylor, PT, DPT
- Physical Therapist
- Cortez, CO
National Provider Identifier
1386277671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16851
- Practice address
- 111 N Park St Ste B
Cortez, CO 81321-3340 - Phone
- (970) 516-1600
- Fax
- (970) 459-3048
- NPI assigned
- Feb 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 16851 | CO | |
| Physical Therapist | 225100000X | 16851 | CO | Primary |
Addresses
Primary practice location
111 N Park St Ste B
Cortez, CO 81321-3340
Mailing address
111 N Park St Ste B
Cortez, CO 81321-3340
Phone (970) 516-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16851 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Solutions | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583020800000",
"number": "1386277671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N PARK ST STE B",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813213340",
"telephone_number": "970-516-1600",
"fax_number": "970-459-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N PARK ST STE B",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813213340",
"telephone_number": "970-516-1600",
"fax_number": "970-459-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KIMBERLY",
"middle_name": "ROSE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-15",
"last_updated": "2020-03-01",
"certification_date": "2020-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "16851",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "16851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.