Taylor Gwaltney Rose, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

177724 Issued in NC

Practice address

269 Gillman Rd Ste 200B
Denver, NC 28037-7922

Phone

(704) 316-3104

Fax

(704) 316-3103

NPI assigned

Apr 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Foundation Health Systems LLC

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
  • NPI 1205894029

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1669978938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 GILLMAN RD STE 200B",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377922",
            "telephone_number": "704-316-3104",
            "fax_number": "704-316-3103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 Gillman Rd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280377922",
            "country_code": "US",
            "telephone_number": "704-316-3104",
            "fax_number": "704-316-3103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "TAYLOR",
        "middle_name": "GWALTNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "177724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trose544878@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "269 Gillman Rd Ste 200B",
            "city": "Denver",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280377922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Bruce Risavi, LCSW
• RM Home Care LLC
• Jazmin Roberts, LCMHC
• Tatum F Robinson, MPT
• Stephanie Jenna Romich, DPT
• Elizabeth Ashley Rosillo, LCMHCA
• Stephen Rummage, L.AC.
• Ryan Londry & David Modlin DDS, PLLC
• John Joseph Ryan, M.D.
• Teresa Ann Satterwhite, GNP-BC

• Physical Therapist in Denver, NC
• Providers in Denver, 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 Oct 26, 2020; 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.