Active NPI
Taylor Danielle Defreitas
- Physical Therapist
- York, SC
National Provider Identifier
1497643191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12837
- Practice address
- 1024 Secretariat Dr
York, SC 29745-9228 - Phone
- (803) 370-1630
- NPI assigned
- Jun 24, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12837 | SC | Primary |
Addresses
Primary practice location
1024 Secretariat Dr
York, SC 29745-9228
Mailing address
1024 Secretariat Dr
York, SC 29745-9228
Phone (803) 370-1630
Other names 1
- Dr. Taylor Defreitas
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 |
|---|---|---|---|
| 12837 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1497643191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 SECRETARIAT DR",
"city": "YORK",
"state": "SC",
"postal_code": "297459228",
"telephone_number": "803-370-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 SECRETARIAT DR",
"city": "YORK",
"state": "SC",
"postal_code": "297459228",
"telephone_number": "803-370-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFREITAS",
"first_name": "TAYLOR",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "DEFREITAS",
"prefix": "DR.",
"credential": "PT, DPT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in York, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.