Taylor Gorrell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61002252 Issued in WA

Practice address

725 6TH St Ste 101
Clarkston, WA 99403-2006

Phone

(509) 758-8510

NPI assigned

Oct 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1609419480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14240 BULL RAPIDS RD",
            "city": "GRABILL",
            "state": "IN",
            "postal_code": "467419623",
            "telephone_number": "260-466-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 6TH ST STE 101",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032006",
            "telephone_number": "509-758-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRELL",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013527A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11435288-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61002252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Garcia, RN
• Wendy Marie Geffe, PHARMD
• Gurpreet Gill
• Erin Gordon
• Sydni Marie Gormsen, MA
• Amanda Grainger
• Isabella Graves
• Kristen P Graves
• Alicia Marie Gray
• Marsha Kay Greer, RN

• Physical Therapist in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.