Brandon Shane Tays, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011896 Issued in GA

Practice address

695 Henderson Dr
Cartersville, GA 30120-3738

Phone

(770) 386-6300

Fax

(770) 382-0791

NPI assigned

Nov 24, 2014

Last updated

Aug 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

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.

• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)
• Rehab Associates, LLC

  dba Champion Sports Medicine

  • Physical Therapy Clinic/Center
  • Jasper, AL
  • NPI 1033886486

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1780081497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 HENDERSON DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203738",
            "telephone_number": "770-386-6300",
            "fax_number": "770-382-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 HENDERSON DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203738",
            "telephone_number": "770-386-6300",
            "fax_number": "770-382-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYS",
        "first_name": "BRANDON",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT8541",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH5694",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517399",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaman Tayara, MD
• Ansley Della Taylor, PT, DPT
• Brandon Kyle Taylor, M.D.
• Grant Taylor, MD
• Matthew Craig Taylor, PHARMD
• Karen Millsap Temples, OT
• Maria Temples, D.C
• Tennessee Street Chiropractic Office, LLC
• Tennessee Street Chiropractic, LLC
• Edward A Tepe, RPH

• Physical Therapist in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.