Active NPI
Alexis Kathryn Taylor, PTA
- Physical Therapy Assistant
- Panama City, FL
National Provider Identifier
1467901637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA26678
- Practice address
- 626 N Tyndall Pkwy
Panama City, FL 32404-6132 - Phone
- (866) 561-2552
- NPI assigned
- Sep 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA26678 | FL | Primary |
| Recreational Therapist Assistant | 226000000X | 2113325 | TX |
Addresses
Primary practice location
626 N Tyndall Pkwy
Panama City, FL 32404-6132
Mailing address
4830 Cherokee Heights Rd
Panama City, FL 32404-2024
Phone (210) 748-8103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA26678 | FL | MD | Physical Therapy Assistant |
| 2113325 | TX | MD | Recreational Therapist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1467901637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 CHEROKEE HEIGHTS RD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324042024",
"telephone_number": "210-748-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 N TYNDALL PKWY",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324046132",
"telephone_number": "866-561-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ALEXIS",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-28",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA26678",
"primary": true
},
{
"code": "226000000X",
"taxonomy_group": "",
"desc": "Recreational Therapist Assistant",
"state": "TX",
"license": "2113325",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.