Individual provider Active NPI

Caroline Drye Taylor, PT

  • Physical Therapist
  • Oakland, CA
National Provider Identifier
1508977315
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0010472 Issued in CA
Practice address
3718 Grand Ave
Suite 15
Oakland, CA 94610-1544
Phone
(510) 893-8878
Fax
(510) 893-8879
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0010472 CA Primary

Addresses

Primary practice location

3718 Grand Ave
Suite 15
Oakland, CA 94610-1544

Mailing address

920 Carlston Ave
Oakland, CA 94610-1735
Phone (510) 893-8878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080515000293 CA Practitioner - Physical Therapist in Private Practice 9638158611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor and Thornburg Physical Therapy, Inc.Group PAC ID 4789753880, 11 clinicians

Practice addresses (Care Compare)

3718 Grand Ave
Suite 15
Oakland, CA 94610-1544
Phone (510) 893-8878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010472CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor & Thornburg Physical Therapy, Inc. Physical Therapist CurrentSince Jan 2, 2008 Accepting new patients
Taylor & Thornburg Physical Therapy PastSince Jun 1, 2004 Accepting new patients

Locations

3718 Grand Ave
Ste 15
Oakland, CA 94610
Phone (510) 893-8878

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508977315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CARLSTON AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101735",
            "telephone_number": "510-893-8878",
            "fax_number": "510-893-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 GRAND AVE",
            "address_2": "SUITE 15",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101544",
            "telephone_number": "510-893-8878",
            "fax_number": "510-893-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CAROLINE",
        "middle_name": "DRYE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "0010472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.