Taylor Main Quaglia, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P18670 Issued in NC

Practice address

901 US 70 Hwy W Ste 120
Garner, NC 27529-2664

Phone

(919) 294-8612

Fax

(866) 422-6178

NPI assigned

Aug 14, 2017

Last updated

Jan 19, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Sports and Physical Therapy LLCGroup PAC ID 0749276426, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Performance Sports and Physical Therapy, LLC

  • Physical Therapist
  • New Bern, NC
  • NPI 1194714063
  Medicare reassignment Care Compare group NPD
• Peterson & Nellis Physical Therapy PC

  dba Physical Therapy Plus

  • Specialist
  • Syracuse, NY
  • NPI 1033291802

  Physical Therapist

  Medicare reassignment NPD
• Havelock Peak Performance Sports & Physical Therapy, LLC

  • Physical Therapist
  • Havelock, NC
  • NPI 1588623847
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1619493475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 US 70 HWY W STE 120",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292664",
            "telephone_number": "910-294-8612",
            "fax_number": "866-422-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 US 70 HWY W STE 120",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292664",
            "telephone_number": "919-294-8612",
            "fax_number": "866-422-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAGLIA",
        "first_name": "TAYLOR",
        "middle_name": "MAIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18670",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720776",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Julie Barr Tedder Queen, P.A.-C
• Margaret Racine, RD
• Raleigh Orthopaedic Clinic PA
• Amanda Jayne Rametta, CCC-SLP
• Shital Ramteke

• Physical Therapist in Garner, NC
• Providers in Garner, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.