Individual provider Active NPI

Travis Ryan Taylor, D.C.

  • Chiropractor
  • Aventura, FL
National Provider Identifier
1457782856
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11151 Issued in FL
Practice address
20772 W Dixie Hwy
Aventura, FL 33180-1146
Phone
(305) 932-3773
Fax
(305) 932-4410
NPI assigned
Dec 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4418 OH
Chiropractor 111N00000X CH11151 FL Primary

Addresses

Primary practice location

20772 W Dixie Hwy
Aventura, FL 33180-1146

Mailing address

20772 W Dixie Hwy
Aventura, FL 33180-1146
Phone (305) 932-3773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227003283 OH Practitioner - Chiropractic 5496973588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Chiropractic Health and Wellness Center LLCGroup PAC ID 2668385584, 4 clinicians

Practice addresses (Care Compare)

1251 Main St
Suite a
Cuyahoga Falls, OH 44221-4917
Phone (330) 928-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4418OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Chiropractic Health & Wellness Center LLC CurrentSince Jan 8, 2024 Accepting new patients
Craig H Kaler Dcpa Chiropractor Past Accepting new patients
Dr. T. Taylor, LLC Past Accepting new patients
Quantum Integrative Care PastSince Jul 25, 2021 Accepting new patients

Locations

1251 Main St
Ste A
Cuyahoga Fls, OH 44221
Phone (330) 928-2273

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1457782856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20772 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-932-3773",
            "fax_number": "305-932-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20772 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-932-3773",
            "fax_number": "305-932-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TRAVIS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-10",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4418",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.