Derek Taylor, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT297098 Issued in CA

Practice address

90 E Thousand Oaks Blvd Ste 200
Thousand Oaks, CA 91360-5761

Phone

(805) 497-9300

Fax

(805) 497-9311

NPI assigned

Aug 13, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conejo Valley Physical Therapy IncGroup PAC ID 5294903977, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Conejo Valley Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Thousand Oaks, CA
  • NPI 1063745842

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1437705753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E THOUSAND OAKS BLVD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605761",
            "telephone_number": "805-497-9300",
            "fax_number": "805-497-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E THOUSAND OAKS BLVD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605761",
            "telephone_number": "805-497-9300",
            "fax_number": "805-497-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4035 Mission Oaks Blvd Unit B",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930125156",
            "country_code": "US",
            "telephone_number": "805-497-9300",
            "fax_number": "805-497-9311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DEREK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn M Tate, CADC
• Daniel Tavari, D.O.
• Michael Tawadros
• Michael Sherif Tawfik, MD
• Crista Taylor, MPT
• Nicole Taylor
• Patricia Louise Taylor, P.T.
• Scott M Taylor
• Ursula E Taylor, MD
• Gregory H. Tchejeyan, M.D., INC

• Physical Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.