Jennifer L Taylor, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5652-024 Issued in WI

Practice address

845 South Main Street
Suite 120
Fond Du Lac, WI 54935

Phone

(920) 322-0447

Fax

(920) 322-1362

NPI assigned

Feb 17, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rehab Arisces Home Health Services

  • Home Health Agency
  • Fond Du Lac, WI
  • NPI 1740626332
  NPD (past) Authorized official
• Taylored Rehab, LLC

  • Physical Therapy Clinic/Center
  • Fond Du Lac, WI
  • NPI 1356485791

  Physical Therapist

  NPD

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1760526131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 SOUTH MAIN STREET",
            "address_2": "SUITE 120",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-322-0447",
            "fax_number": "920-322-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SOUTH MAIN STREET",
            "address_2": "SUITE 120",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-322-0447",
            "fax_number": "920-322-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5852-024",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5652-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40302700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa L Tate, APNP
• Alyssa Mae Taubel, PTA
• Tanya Tautges
• Amanda Tavs
• James Ray Taylor, PT
• Sarah M Taylor
• Taylored Rehab, LLC
• Briana Lynn Teckenburg, PTA
• Karla K Teetzen
• Yvette Marie Teichmiller-Hewitt, RN

• Physical Therapist in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.