Diana Rebecca Taylor, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2044352 Issued in TX

Practice address

19285 David Memorial Dr
Shenandoah, TX 77385-8778

Phone

(936) 321-8300

NPI assigned

Feb 12, 2014

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

Other identifiers 1

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": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1588088488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 PALOMAR VALLEY DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862869",
            "telephone_number": "281-851-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19285 DAVID MEMORIAL DR",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858778",
            "telephone_number": "936-321-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DIANA",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2044352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "2044352",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Synergenx Health the Woodlands LLC
• Stephanie Lyn Tackett, PTA
• Mayra Takenaga
• Jenna Tanis Masoud, BA
• Vicky L Taylor-McKenna, A.P.N.
• Victoria Templeton, M.S., LMFT ASSOICATE
• Victoria M Tettey
• Texas CV Center, LLC
• Texas Heart and Valve PLLC
• Sameer Thacker

• Physical Therapy Assistant in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.