Taylor McLellan, DPT
Individual provider Active NPI Physical Therapist · Meraux, LA
NPI 1790404200 · NPPES record last updated Aug 26, 2022
Key facts
- NPI
- 1790404200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11195 (LA)
- Practice address
- 2312 Fable St
Meraux, LA 70075-2817 - Phone
- (504) 442-9889
- NPI assigned
- Aug 26, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11195 | LA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11195 | LA | Yes |
Addresses
Primary practice location
2312 Fable St
Meraux, LA 70075-2817
Mailing address
2312 Fable St
Meraux, LA 70075-2817
Phone (504) 442-9889
Other providers in Meraux, LA
- Brittany Gowland
- Kayla Guerra
- Tien-Trang Thi Le
- Dashonna Leal
- Jennifer Lin Lucas
- Jenna Miserendino
- Anthony James Musacchia IV
- Emily Rose Neyland
- Christen Taylor Quebedeau
- Chloe Reaney
All providers in Meraux, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.