Courtney Lynne Taylor, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2045243 Issued in TX

Practice address

4882 Hightech Dr
Tyler, TX 75703-2613

Phone

(903) 300-0234

NPI assigned

Jun 29, 2026

Last updated

Jun 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Obach Physical Therapy Clinic LLC

  • Physical Therapist
  • Bullard, TX
  • NPI 1912398348
  NPD (past)

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1750207023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 RODESSA DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019149",
            "telephone_number": "903-300-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4882 HIGHTECH DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032613",
            "telephone_number": "903-300-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "COURTNEY",
        "middle_name": "LYNNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2045243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santanna Tave, LPC
• Alicen Stegall Taylor
• Amia Taylor, MSW, LCSW, LISW
• Brittany A Taylor
• Carison Taylor
• Devin Taylor
• Ethan Taylor
• Jennifer Taylor
• Michael Byron Taylor, M.D.
• Missie Taylor

• Physical Therapy Assistant in Tyler, TX
• Providers in Tyler, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.