Grace Faith Baiza Taoatao

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4427 Issued in TN

Practice address

1591 Dexter Lake Dr Apt 304
Cordova, TN 38016-1305

Phone

(901) 849-0219

NPI assigned

Jul 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Gracefaith Baiza Taoatao Professional name

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1720375280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 DEXTER LAKE DR APT 304",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161305",
            "telephone_number": "901-849-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 DEXTER LAKE DR APT 304",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161305",
            "telephone_number": "901-849-0219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11315 Corporate Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328178344",
            "country_code": "US",
            "telephone_number": "800-774-7785 x6054",
            "fax_number": "877-217-9271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAOATAO",
        "first_name": "GRACE FAITH",
        "middle_name": "BAIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "004427",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "4427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACEFAITH",
            "last_name": "TAOATAO",
            "middle_name": "BAIZA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Usha B Swamy, M.D.
• Dodgen Nathaniel Swanson, DC
• Richard Dean Sykes, APRN, BC
• Faysa Taha
• William Talbert, MS, BCBA
• Taslim a Khattak MD
• Jeff Tatlonghari, OT
• Ashley Anne Tawfik, LPC-MHSP
• Brandi Nicole Taylor, LMSW
• Charlotte Russell Taylor, D.D.S.

• Physical Therapy Assistant in Cordova, TN
• Providers in Cordova, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.