Individual provider Active NPI

Taylor Mackenzie Jones, DPT

  • Physical Therapist
  • Waldorf, MD
National Provider Identifier
1598473357
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30176 Issued in MD
Practice address
3084 Waldorf Market PL
Waldorf, MD 20603-4872
Phone
(240) 530-8188
Fax
(301) 638-0470
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215464 VA
Physical Therapist 225100000X 30176 MD Primary

Addresses

Primary practice location

3084 Waldorf Market PL
Waldorf, MD 20603-4872

Mailing address

3084 Waldorf Market PL
Waldorf, MD 20603-4872
Phone (240) 530-8188

Other identifiers 1

IdentifierTypeStateIssuer
2305215464OtherVADEPARTMENT OF HEALTH PROFESSIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221227000067 VA Practitioner - Physical Therapist in Private Practice 6305216979 Reassigns benefits to 1 organization
I20241028004093 MD Practitioner - Physical Therapist in Private Practice 6305216979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3084 Waldorf Market PL
Cao Waldorf PT
Waldorf, MD 20603-4872
Phone (240) 530-8188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30176MDMDPharmacist
2305215464VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 2, 2024 Accepting new patients
Spectrum Medical Inc CurrentSince Nov 3, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 2, 2024 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

3084 Waldorf Market Pl
Waldorf, MD 20603
Phone (240) 530-8188

Organizations & group practices 5

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": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1598473357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 WALDORF MARKET PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034872",
            "telephone_number": "240-530-8188",
            "fax_number": "301-638-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 WALDORF MARKET PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034872",
            "telephone_number": "240-530-8188",
            "fax_number": "301-638-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TAYLOR",
        "middle_name": "MACKENZIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215464",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "2305215464",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.