Organization Active NPI

Taylor Physical Therapy, Inc.

  • Physical Therapist
  • Mountain View, CA
National Provider Identifier
1629048590
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19180 Issued in CA
Legal business name
TAYLOR PHYSICAL THERAPY, INC.
Practice address
515 South Dr Ste 12
Mountain View, CA 94040-4209
Phone
(650) 559-0011
Fax
(650) 559-0012
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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

Authorized official

Name
Mr. Taylor Miller, PTNPI 1467422634
Title
President
Phone
(650) 559-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT19180 CA Primary

Addresses

Primary practice location

515 South Dr Ste 12
Mountain View, CA 94040-4209

Mailing address

515 South Dr Ste 12
Mountain View, CA 94040-4209
Phone (650) 559-0011

Other practice location 1

5050 El Camino Real
Suite 210
Los Altos, CA 94022-1530
Phone (650) 559-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050513000136 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911948500 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain View, CA

National Provider Directory

National Provider Directory

Locations

5050 El Camino Real
Ste 210
Los Altos, CA 94022
Phone (650) 559-0011

515 South Dr
Ste 12
Mountain View, CA 94040
Phone (650) 559-0011

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593216000000",
    "number": "1629048590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SOUTH DR STE 12",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404209",
            "telephone_number": "650-559-0011",
            "fax_number": "650-559-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SOUTH DR STE 12",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404209",
            "telephone_number": "650-559-0011",
            "fax_number": "650-559-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 El Camino Real",
            "address_2": "SUITE 210",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940221530",
            "country_code": "US",
            "telephone_number": "650-559-0011",
            "fax_number": "650-559-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAYLOR PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-559-0011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.