Individual provider Active NPI

Taylor Hutchison, PT, DPT

  • Physical Therapist
  • Marana, AZ
National Provider Identifier
1467219840
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30654 Issued in AZ
Practice address
12120 N Dove Mountain Blvd Ste 122
Marana, AZ 85658-4570
Phone
(520) 467-5065
NPI assigned
Mar 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30654 AZ Primary

Addresses

Primary practice location

12120 N Dove Mountain Blvd Ste 122
Marana, AZ 85658-4570

Mailing address

2758 W Calle Gardenias
Tucson, AZ 85745-3550
Phone (812) 560-7099

Other practice location 1

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909003958 AZ Practitioner - Physical Therapist in Private Practice 4587167309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apexnetwork Marana LLCGroup PAC ID 5092109835, 8 clinicians

Practice addresses (Care Compare)

12120 N Dove Mountain Blvd
Suite 122
Marana, AZ 85658-4570
Phone (520) 467-5065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30654AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apexnetwork Marana, LLC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients

Locations

12120 N Dove Mountain Blvd
Ste 122
Marana, AZ 85658
Phone (520) 467-5065

13892 N Sandario Rd
Ste 140
Marana, AZ 85653
Phone (520) 365-1643

12120 N Dove Mountain Blvd
#122
Marana, AZ 85658
Phone (520) 467-5065

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

Organizations & group practices 1

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": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1467219840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 W CALLE GARDENIAS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857453550",
            "telephone_number": "812-560-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 N DOVE MOUNTAIN BLVD STE 122",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856584570",
            "telephone_number": "520-467-5065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Wilmot Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857112602",
            "country_code": "US",
            "telephone_number": "520-873-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "30654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marana, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.