Individual provider Active NPI

Marcus Taylor, DPT, PT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1407580301
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP034958T Issued in DC
Practice address
3508 Connecticut Ave NW
Washington, DC 20008-2401
Phone
(202) 897-3890
NPI assigned
Jul 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215272 VA
Sports Physical Therapist 2251S0007X
Physical Therapist 225100000X CP034958T DC Primary

Addresses

Primary practice location

3508 Connecticut Ave NW
Washington, DC 20008-2401

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Other practice location 1

8550 Route 29 Ste 450
Fairfax, VA 22031-1519
Phone (703) 208-1002

Other practice location 2

20310 Seneca Meadows Pkwy Ste B
Germantown, MD 20876-7004
Phone (301) 798-4838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220927003200 DC Practitioner - Physical Therapist in Private Practice 7719363845 Reassigns benefits to 3 organizations
I20240703002421 VA Practitioner - Physical Therapist in Private Practice 7719363845 Reassigns benefits to 1 organization
I20260406001804 NC Practitioner - Physical Therapist in Private Practice 7719363845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DC Luna Care Physical Therapy LLCGroup PAC ID 8325457468, 23 clinicians
Duke University Health System, IncGroup PAC ID 2567372345, shared by 22 NPIs, 1,083 clinicians

Practice addresses (Care Compare)

1717 K St NW
Suite 900
Washington, DC 20006-5349
Phone (916) 232-3047

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

501 Douglas St
Durham, NC 27705-3888
Phone (919) 688-3709

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP034958TDCMDPhysical Therapist
2305215272VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Sep 26, 2024 Accepting new patients
DC Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 23, 2025 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Jun 10, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist PastSince Sep 26, 2024 Accepting new patients

Locations

3508 Connecticut Ave NW
Washington, DC 20008
Phone (202) 897-3890

1717 K St NW
Ste 900
Washington, DC 20006
Phone (916) 232-3047

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

Organizations & group practices 7

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": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1407580301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 CONNECTICUT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082401",
            "telephone_number": "202-897-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 Route 29 Ste 450",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220311519",
            "country_code": "US",
            "telephone_number": "703-208-1002",
            "fax_number": "703-208-1127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20310 Seneca Meadows Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208767004",
            "country_code": "US",
            "telephone_number": "301-798-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARCUS",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215272",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "CP034958T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.