Annabelle Taylor, LPTA, CFO

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

116573 Issued in MO

Practice address

615 Rancho LN
Florissant, MO 63031-1717

Phone

(314) 839-2150

NPI assigned

May 31, 2012

Last updated

May 31, 2012By the provider in NPPES

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

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.

• DRB Medical, LLC

  • Prosthetic/Orthotic Supplier
  • Warrenton, MO
  • NPI 1669651410
  NPD (past) Authorized official

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1578824165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21100 GOLDEN OAKS LN",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633836273",
            "telephone_number": "314-306-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 RANCHO LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311717",
            "telephone_number": "314-839-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANNABELLE",
        "name_prefix": "Mrs.",
        "credential": "LPTA, CFO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "116573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kongsak Tanphaichitr, M.D.
• Erica Michelle Tate
• Sky'Lar Tate
• Brett Tatko, PT
• Patricia Lee Tavares, PHARMD
• Brandon Scott Taylor
• Chelsea Michelle Taylor, MSW
• Courtney Taylor
• Harold Lamont Taylor
• Lamont Taylor

• Physical Therapy Assistant in Florissant, MO
• Providers in Florissant, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.