Organization Active NPI

Physical Medicine & Rehab of Eci

  • Physical Medicine & Rehabilitation Physician
  • New Castle, IN
National Provider Identifier
1780768929
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
01041429 Issued in IN
Legal business name
PHYSICAL MEDICINE & REHAB OF ECI
Practice address
2200 Forest Ridge Pkwy
Suite #240
New Castle, IN 47362-2943
Phone
(765) 521-7385
Fax
(765) 521-7394
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Scott B Taylor, MDNPI 1871539148
Title
Owner
Phone
(765) 521-1594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 01041429 IN Primary

Addresses

Primary practice location

2200 Forest Ridge Pkwy
Suite #240
New Castle, IN 47362-2943

Mailing address

PO Box 662
New Castle, IN 47362-0662
Phone (765) 521-1435

Other identifiers 1

IdentifierTypeStateIssuer
200167340CMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Physical Medicine and Rehabilitation of East Central Indiana PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1780768929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620662",
            "telephone_number": "765-521-1435",
            "fax_number": "765-599-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOREST RIDGE PKWY",
            "address_2": "SUITE #240",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622943",
            "telephone_number": "765-521-7385",
            "fax_number": "765-521-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & REHAB OF ECI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-521-1594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01041429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200167340C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.