NPIMap

Organization Active NPI

Taylor Physical Therapy Associates LLC

  • Physical Therapist
  • Waverly, IA
National Provider Identifier
1710485446
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TAYLOR PHYSICAL THERAPY ASSOCIATES LLC
Practice address
100 Wartburg Blvd Ste 1392
Waverly, IA 50677-2215
Phone
(319) 352-8466
NPI assigned
Jan 29, 2018
Last updated
Feb 8, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
TAYLOR PHYSICAL THERAPY ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Jerod Lee GayerNPI 1437259512
Title
Owner
Phone
(319) 352-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

100 Wartburg Blvd Ste 1392
Waverly, IA 50677-2215

Mailing address

1306 Highway 57 Ste B
Parkersburg, IA 50665-1075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141029002365 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951405174 Receives reassigned benefits from 37 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Parkersburg, IA; Waverly, IA; Sumner, IA; Nashua, IA; Denver, IA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Taylor Physical Therapy Associates LLC8 organizations share this tax ID, including this one
Part of
Taylor Physical Therapy Associates LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1710485446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HIGHWAY 57 STE B",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506651075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARTBURG BLVD STE 1392",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772215",
            "telephone_number": "319-352-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR PHYSICAL THERAPY ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAYLOR PHYSICAL THERAPY ASSOCIATES LLC",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "GAYER",
        "authorized_official_first_name": "JEROD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-352-5644"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.