Individual provider Active NPI

Thea M Taylor, DC

  • Sports Physician Chiropractor
  • League City, TX
National Provider Identifier
1477510048
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
10254 Issued in TX
Practice address
618 W Main St
#102
League City, TX 77573-3773
Phone
(281) 332-4476
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 10254 TX Primary

Addresses

Primary practice location

618 W Main St
#102
League City, TX 77573-3773

Mailing address

618 W Main St
#102
League City, TX 77573-3773
Phone (281) 332-4476

Other identifiers 1

IdentifierTypeStateIssuer
8V3120OtherTXBLUE CROSS/BLUE SHEILD TX

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

LicenseStateTypeSpecialty
10254TXMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477510048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W MAIN ST",
            "address_2": "#102",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733773",
            "telephone_number": "281-332-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W MAIN ST",
            "address_2": "#102",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733773",
            "telephone_number": "281-332-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "THEA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD TX",
            "identifier": "8V3120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.