Individual provider Active NPI

Kaitlyn Taylor, PT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1679023030
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05012254A Issued in IN
Practice address
8936 South Shelby
Ste a-1
Indianapolis, IN 46227-6264
Phone
(317) 888-3838
Fax
(317) 865-7262
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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 05012254A IN Primary

Addresses

Primary practice location

8936 South Shelby
Ste a-1
Indianapolis, IN 46227-6264

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names 1

  • Kaitlyn Sly Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031002093 IN Practitioner - Physical Therapist in Private Practice 4385922038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

8936 Southpointe Dr
Suite A1
Indianapolis, IN 46227-7506
Phone (317) 888-3838

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 19, 2016 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 19, 2016 Accepting new patients
Advanced Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1675 N National Rd
Columbus, IN 47201
Phone (812) 799-1257

2467 W Jonathan Moore Pike
Columbus, IN 47201
Phone (812) 314-7013

2421 N Morton St
Franklin, IN 46131
Phone (317) 738-4401

120 W Smith Valley Rd
Ste C
Greenwood, IN 46142
Phone (317) 807-0223

433 N Capitol Ave
Ste 102
Indianapolis, IN 46204
Phone (317) 860-1646

4625 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 522-2303

2333 Post Dr
Indianapolis, IN 46219
Phone (317) 890-7700

4950 E Stop 11 Rd
Ste B
Indianapolis, IN 46237
Phone (317) 859-5857

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

2625 E 62nd St
Ste 1012
Indianapolis, IN 46220
Phone (317) 677-0295

8936 Southpointe Dr
Ste A1
Indianapolis, IN 46227
Phone (317) 888-3838

310 Duran Dr
Shelbyville, IN 46176
Phone (317) 421-0244

Organizations & group practices 3

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1679023030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 SOUTH SHELBY",
            "address_2": "STE A-1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276264",
            "telephone_number": "317-888-3838",
            "fax_number": "317-865-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KAITLYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012254A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "SLY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.