Individual provider Active NPI

Taylor Stevens

  • Physical Therapist
  • Rock Hill, SC
National Provider Identifier
1396394912
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10361 Issued in SC
Practice address
420 Herlong Ave S Ste 104
Rock Hill, SC 29732-1091
Phone
(839) 274-3013
NPI assigned
Sep 6, 2019
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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 10361 SC Primary

Addresses

Primary practice location

420 Herlong Ave S Ste 104
Rock Hill, SC 29732-1091

Mailing address

729 Painted Lady CT
Rock Hill, SC 29732-7630
Phone (803) 372-7949

Other practice location 1

727 Dilworth Ln Ste 202
Rock Hill, SC 29732-8097
Phone (803) 327-8655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123001401 SC Practitioner - Physical Therapist in Private Practice 7810227048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Revo Rehab, IncGroup PAC ID 6608138847, 5 clinicians

Practice addresses (Care Compare)

1317 Ebenezer Rd
Rock Hill, SC 29732-2336
Phone (803) 207-8177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10361SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Creative Health Care Management, LLC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Revo Rehab, Inc Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Jag28 LLC Physical Therapist CurrentSince Aug 31, 2026 Accepting new patients

Locations

10 S 9th St
Ste 4
Noblesville, IN 46060

4381 Charlotte Hwy
Ste 104
Lake Wylie, SC 29710
Phone (803) 631-5485

1317 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 207-8177

420 Herlong Ave S
Ste 104
Rock Hill, SC 29732
Phone (803) 328-0587

727 Dilworth Ln
Ste 202
Rock Hill, SC 29732
Phone (803) 327-8655

Organizations & group practices 4

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": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1396394912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 PAINTED LADY CT",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327630",
            "telephone_number": "803-372-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HERLONG AVE S STE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321091",
            "telephone_number": "839-274-3013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 Dilworth Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297328097",
            "country_code": "US",
            "telephone_number": "803-327-8655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.