Active NPI
Taylor Harrison Dukes
- Physical Therapist
- Johns Creek, GA
National Provider Identifier
1417569047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014641
- Practice address
- 10160 Medlock Bridge Road
Suite B
Johns Creek, GA 30097 - Phone
- (678) 584-1622
- NPI assigned
- Aug 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014641 | GA | Primary |
Addresses
Primary practice location
10160 Medlock Bridge Road
Suite B
Johns Creek, GA 30097
Mailing address
260 Fox Hunter Drive
Johns Creek, GA 30022
Phone (404) 784-7001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210520000974 | GA | Practitioner - Physical Therapist in Private Practice | 3375942592 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therasport Physical Therapy Inc.
Practice addresses (Care Compare)
10160 Medlock Bridge Rd B
Johns Creek, GA 30097-4419
Phone (678) 584-1622
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1417569047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 FOX HUNTER DRIVE",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "30022",
"telephone_number": "404-784-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10160 MEDLOCK BRIDGE ROAD",
"address_2": "SUITE B",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "30097",
"telephone_number": "678-584-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKES",
"first_name": "TAYLOR",
"middle_name": "HARRISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.