Taylor Ray Daniels, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA7050 Issued in MS

Practice address

513 Academy Rd
Starkville, MS 39759-4021

Phone

(662) 268-8013

Fax

(662) 268-8095

NPI assigned

Jun 17, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sog Physical Therapy

  • Multi-Specialty Clinic/Center
  • Tupelo, MS
  • NPI 1902361660
  NPD (past)

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1699343426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-206-4158",
            "fax_number": "717-773-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 ACADEMY RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594021",
            "telephone_number": "662-268-8013",
            "fax_number": "662-268-8095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 S Gloster St Ste C",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016548",
            "country_code": "US",
            "telephone_number": "662-432-1523",
            "fax_number": "662-432-1528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "TAYLOR",
        "middle_name": "RAY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA7050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Margaret Crowson, PT, DPT
• Jay A Cumberland, RPH
• Amanda Dahl, RDN, LD
• Anna Claire S Dalrymple, OD
• Natasha Daniels
• Jesse L Davidson
• Tiffany Davidson
• Ally Davis, LCSW
• Amy Davis, BS
• Melissa Long Davis, M.S., CCC-SLP

• Physical Therapy Assistant in Starkville, MS
• Providers in Starkville, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.