Taylor Crow Middleton, PT, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT013947 Issued in GA

Practice address

605 Big Shanty Rd NW
Kennesaw, GA 30144-3646

Phone

(404) 785-4166

NPI assigned

Mar 30, 2020

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

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1518595149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ESTUARY TRL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BIG SHANTY RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443646",
            "telephone_number": "404-785-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "TAYLOR",
        "middle_name": "CROW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "GA",
            "license": "PT013947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen E Michael, MA, NCC
• Hannah Michelena, RN
• Leah K Middendorf, NP-C
• Jayne Thenise Middlebrooks, M.D.
• Chelsea E Middleton, DMD
• Midstate Industrial Inc.
• Lindsey Mikolaicik, RDN, LD
• Milestone Therapy LLC
• Miller Foot & Ankle Healthcare Inc
• Abigail Doreen Miller

• Sports Physical Therapist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Sports Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.