Anthoni J Taylor

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1510 Coastal LN Unit 222
Myrtle Beach, SC 29577-1027

Phone

(843) 340-0809

NPI assigned

Jun 25, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1467022251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 COASTAL LN UNIT 222",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771027",
            "telephone_number": "843-340-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COASTAL LN UNIT 222",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771027",
            "telephone_number": "843-340-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANTHONI",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Courtney Taska, PT
• Daniel Tate, DO
• Deborah Susan Tate, RN
• Miranda Reed Tate
• Ainsley Smith Tayloe, MS CCC-SLP
• David Edward Taylor, MAC. M.PAC, ADC-IP
• Kelly Taylor
• Tara Alesia Taylor, MA, LPC
• Bernard Richard Tedesco, LPC
• Eleanor Theresa Tedesco, MD

• Athletic Trainer in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.