Individual provider Active NPI

Taylor Allen Pechauer, DPT

  • Physical Therapist
  • Oro Valley, AZ
National Provider Identifier
1528375490
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP026094T Issued in AZ
Practice address
12315 N Vistoso Park Rd
Oro Valley, AZ 85755-5819
Phone
(152) 054-4970
NPI assigned
Sep 13, 2010
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1160924 WI
Physical Therapist 225100000X P19947 NC
Physical Therapist 225100000X 25769 MA
Physical Therapist 225100000X CP026094T AZ Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

12315 N Vistoso Park Rd
Oro Valley, AZ 85755-5819

Mailing address

2214 Wildwood Dr
Suamico, WI 54173-8461
Phone (847) 951-9932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25769MAMDPharmacist
1160924WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsfield Management Systems Inc. PastSince Jul 1, 2022 Accepting new patients
NSH Little Chute LLC Past Accepting new patients
Mt Greylock Nursing LLC PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1528375490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 WILDWOOD DR",
            "city": "SUAMICO",
            "state": "WI",
            "postal_code": "541738461",
            "telephone_number": "847-951-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 N VISTOSO PARK RD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857555819",
            "telephone_number": "152-054-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHAUER",
        "first_name": "TAYLOR",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1160924",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19947",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25769",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP026094T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.