Individual provider Active NPI

Taylor Katelyn Parker, DPT

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1780179069
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1110 Wilkinson Trce Ste 1110
Bowling Green, KY 42103-3402
Phone
(270) 418-3324
Fax
(270) 418-3326
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1110 Wilkinson Trce Ste 1110
Bowling Green, KY 42103-3402

Mailing address

175 S English Station Rd Ste 218
Louisville, KY 40245-4199
Phone (150) 288-2937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180906001396 KY Practitioner - Physical Therapist in Private Practice 6901156348 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Inc Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Prorehab Inc Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients

Locations

4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001

2625 Nashville Rd
Ste 102
Bowling Green, KY 42101
Phone (270) 418-3325

1945 Scottsville Rd
Ste A3
Bowling Green, KY 42104
Phone (270) 393-9393

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1780179069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S ENGLISH STATION RD STE 218",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454199",
            "telephone_number": "150-288-2937",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 WILKINSON TRCE STE 1110",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033402",
            "telephone_number": "270-418-3324",
            "fax_number": "270-418-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TAYLOR",
        "middle_name": "KATELYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.