Travis Dean Taylor, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2655 Issued in OK

Practice address

1400 NW 122ND St
Oklahoma City, OK 73114-8027

Phone

(405) 749-8131

Fax

(405) 752-2969

NPI assigned

May 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720289747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 NW 116TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731622221",
            "telephone_number": "405-749-8131",
            "fax_number": "405-752-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 122ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148027",
            "telephone_number": "405-749-8131",
            "fax_number": "405-752-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TRAVIS",
        "middle_name": "DEAN",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "2655",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Taylor, COTA/L
• Tamia Janiese Taylor
• Tiffany Taylor
• Tiffany Denise Taylor, APRN
• Tisha Taylor, LMT
• Walter F Taylor IV
• Carole Tayo
• Aminah Tayyab
• Tbcpm LLC (The Broadway Clinic Pharmacy)
• Tbi Associates LLC

• Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.