Active NPI
David Carl Taylor, M.S. P.T.
- Physical Therapist
- Kirkland, WA
National Provider Identifier
1780938514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00001039
- Practice address
- 12837 NE 140TH CT
Kirkland, WA 98034-1500 - Phone
- (425) 820-8596
- NPI assigned
- Oct 31, 2012
- Sex
- Male
- 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 | 00001039 | WA | Primary |
Addresses
Primary practice location
12837 NE 140TH CT
Kirkland, WA 98034-1500
Mailing address
12837 NE 140TH CT
Kirkland, WA 98034-1500
Phone (425) 820-8596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00001039 | Other | WA | WASHINGTON STATE LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00001039 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1780938514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12837 NE 140TH CT",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980341500",
"telephone_number": "425-820-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12837 NE 140TH CT",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980341500",
"telephone_number": "425-820-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DAVID",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "M.S. P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00001039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE LICENSE",
"identifier": "00001039",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.