Individual provider Active NPI

Daniel C Taylor, DPT

  • Physical Therapist
  • Lake Forest, CA
National Provider Identifier
1629595087
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT293491 Issued in CA
Practice address
23832 Rockfield Blvd Ste 160
Lake Forest, CA 92630-2820
Phone
(949) 465-9500
Fax
(949) 465-9506
NPI assigned
Aug 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT293491 CA Primary

Addresses

Primary practice location

23832 Rockfield Blvd Ste 160
Lake Forest, CA 92630-2820

Mailing address

23832 Rockfield Blvd Ste 160
Lake Forest, CA 92630-2820
Phone (949) 465-9500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171027002649 CA Practitioner - Physical Therapist in Private Practice 6204102791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Rehabilitation, Inc.Group PAC ID 7113918764, 2 clinicians

Practice addresses (Care Compare)

23832 Rockfield Blvd
Suite 160
Lake Forest, CA 92630-2820
Phone (949) 465-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT293491CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Rehabilitation, Inc. Physical Therapist CurrentSince Aug 11, 2017 Accepting new patients

Locations

23832 Rockfield Blvd
Ste 160
Lake Forest, CA 92630
Phone (949) 354-9693

25971 Pala
Ste 110
Mission Viejo, CA 92691
Phone (949) 465-9500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1629595087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD STE 160",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302820",
            "telephone_number": "949-465-9500",
            "fax_number": "949-465-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23832 ROCKFIELD BLVD STE 160",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302820",
            "telephone_number": "949-465-9500",
            "fax_number": "949-465-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-26",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.