Individual provider Active NPI

Taylor Keppy, DPT

  • Physical Therapist
  • Silvis, IL
National Provider Identifier
1396223467
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
902 Illini Dr
Silvis, IL 61282-4700
Phone
(309) 796-3450
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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 Primary

Addresses

Primary practice location

902 Illini Dr
Silvis, IL 61282-4700

Mailing address

850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070

Other practice location 1

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 449-7004

Other names 1

  • Taylor Mericle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180816001036 IA Practitioner - Physical Therapist in Private Practice 3476802976 Reassigns benefits to 1 organization
I20220330002281 IL Practitioner - Physical Therapist in Private Practice 3476802976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 N Division St
Suite 200
Davenport, IA 52804-3535
Phone (563) 324-2263

902 Illini Dr
Silvis, IL 61282-4700
Phone (309) 796-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

1700 N Division St
Ste 200
Davenport, IA 52804
Phone (563) 324-2263

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

3800 Avenue of the Cities
Ste 107
Moline, IL 61265
Phone (309) 743-0106

850 43rd Ave
Ste 300
Moline, IL 61265
Phone (309) 743-0300

902 Illini Dr
Silvis, IL 61282
Phone (309) 796-3450

Organizations & group practices 3

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1396223467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 ILLINI DR",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612824700",
            "telephone_number": "309-796-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6101 Northwest Blvd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528061861",
            "country_code": "US",
            "telephone_number": "563-449-7004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEPPY",
        "first_name": "TAYLOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "MERICLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silvis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.