Individual provider Active NPI

Andrew Taylor

  • Physical Therapist
  • Valdosta, GA
National Provider Identifier
1720633803
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014211 Issued in GA
Practice address
3527 N Valdosta Rd
Valdosta, GA 31602-6418
Phone
(229) 247-2290
Fax
(229) 247-5926
NPI assigned
Aug 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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 PT014211 GA Primary

Addresses

Primary practice location

3527 N Valdosta Rd
Valdosta, GA 31602-6418

Mailing address

3527 N Valdosta Rd
Valdosta, GA 31602-6418
Phone (229) 247-2290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191009001580 GA Practitioner - Physical Therapist in Private Practice 0345571154 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

1968 Hawks LN NE
Brookhaven, GA 30329-2283
Phone (404) 251-2537

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valdosta Orthopedic Associates PC CurrentSince Aug 6, 2019 Accepting new patients
Emory Physical Therapy, LLC CurrentSince May 23, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince May 23, 2025 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince Jan 30, 2025 Accepting new patients
Nexstep Therapy LLC Physical Therapist Current Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 14, 2025 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients

Locations

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

1968 Hawks Ln NE
Brookhaven, GA 30329
Phone (404) 251-2537

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

3520 N Crossing Cir
Valdosta, GA 31602
Phone (229) 242-8394

3527 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 247-2290

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11118/brand/5/csg/22/fhir/r4

Organizations & group practices 7

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1720633803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 N VALDOSTA RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026418",
            "telephone_number": "229-247-2290",
            "fax_number": "229-247-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 N VALDOSTA RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026418",
            "telephone_number": "229-247-2290",
            "fax_number": "229-247-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.