Taylor Physical Therapy Associates LLC
Organization Active NPI Physical Therapist · Nashua, IA
NPI 1437657293 · NPPES record last updated Jan 26, 2018
Key facts
- NPI
- 1437657293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- TAYLOR PHYSICAL THERAPY ASSOCIATES LLC
- Practice address
- 80 Amherst Blvd Ste 30
Nashua, IA 50658-9712 - Phone
- (641) 435-4476
- NPI assigned
- Jan 26, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- TAYLOR PHYSICAL THERAPY ASSOCIATES LLC
Authorized official
- Name
- Jerod Lee Gayer
- Title
- Owner
- Phone
- (319) 352-5644
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 7
Practitioners 7
-
Jenifer Anderson, DPT
-
Katie Lea Lindeman, DPT
-
Jacob Lee Norton, DPT
-
Eric Thomas Callahan, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141029002365 | IA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1951405174 |
Receives reassigned benefits from 37 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Parkersburg, IA; Waverly, IA; Sumner, IA; Nashua, IA; Denver, IA |
National Provider Directory
- Tax ID family
- Taylor Physical Therapy LLC
- Part of
- Taylor Physical Therapy LLC
Locations
80 Amherst Blvd
Ste 30
Nashua, IA 50658
Phone (641) 435-4476
1306 Highway 57
Ste B
Parkersburg, IA 50665
Phone (319) 346-9783
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
80 Amherst Blvd Ste 30
Nashua, IA 50658-9712
Mailing address
1306 Highway 57 Ste B
Parkersburg, IA 50665-1075
Other providers in Nashua, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.