Active NPI
Taylor L Mannix
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1740764331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL0015653
- Practice address
- 2900 S Hanover St
Baltimore, MD 21225-1232 - Phone
- (855) 546-0855
- NPI assigned
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL0015653 | CO | Primary |
Addresses
Primary practice location
2900 S Hanover St
Baltimore, MD 21225-1232
Mailing address
145 Inverness Dr E
Ste 120
Englewood, CO 80112-5172
Phone (720) 324-9380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL0015653 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1740764331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 INVERNESS DR E",
"address_2": "STE 120",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125172",
"telephone_number": "720-324-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S HANOVER ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212251232",
"telephone_number": "855-546-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNIX",
"first_name": "TAYLOR",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL0015653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.