Veronica Taylor, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

33218 Issued in FL

Practice address

501 Burns Ave
Lake Wales, FL 33853-3335

Phone

(863) 679-3338

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Victory Ridge Academy, Inc.

  • Clinic/Center
  • Lake Wales, FL
  • NPI 1184044612
  NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1497526404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BURNS AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BURNS AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533335",
            "telephone_number": "863-679-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "VERONICA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "33218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Christine Strazzulla, MS-CCC, SLP
• Kaycie Samantha Stringer, ARNP
• Sunrise Pediatrics LLC
• Jacqueline Collier Swale, DPT
• Tiffany Christine Tary, OTR/L
• Stacy Testa, PA-C
• Prabin Thakuri, AA
• The Tower Ridge Group LLC
• Emily Morgan Thomas, MS, CCC-SLP
• Felicia Thomas

• Physical Therapy Assistant in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.