Active NPI
Taylor Brice
- Physical Therapist
- Bowling Green, KY
National Provider Identifier
1760908081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007206
- Practice address
- 1053 Lovers LN
Bowling Green, KY 42103-7166 - Phone
- (502) 633-1007
- NPI assigned
- Aug 17, 2017
- Last updated
- Mar 18, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 007206 | KY | Primary |
Addresses
Primary practice location
1053 Lovers LN
Bowling Green, KY 42103-7166
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007
Other practice location 1
75 River Birch Loop
Smiths Grove, KY 42171-7310
Phone (270) 535-1414
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007206 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McReynolds Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba McReynolds Physical Therapy
- Physical Therapist
- Brownsville, KY
- NPI 1477067841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1760908081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658138",
"telephone_number": "502-633-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 LOVERS LN",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037166",
"telephone_number": "502-633-1007"
}
],
"practiceLocations": [
{
"address_1": "75 River Birch Loop",
"address_purpose": "LOCATION",
"city": "Smiths Grove",
"state": "KY",
"postal_code": "421717310",
"country_code": "US",
"telephone_number": "270-535-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRICE",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.