Tarra Taylor, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9162 Issued in GA

Practice address

135 Brandywine Blvd
Suite D
Fayetteville, GA 30214-1590

Phone

(770) 460-6285

Fax

(770) 460-6512

NPI assigned

Mar 29, 2008

Last updated

Mar 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Advanced Physical Therapy of Fayette

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
  • NPI 1447294228
  NPD (past)
• Advanced Physical Therapy of Fayette, LLC

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
  • NPI 1346388725

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206748800000",
    "number": "1790957868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BRANDYWINE BLVD",
            "address_2": "SUITE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141590",
            "telephone_number": "770-460-6285",
            "fax_number": "770-460-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BRANDYWINE BLVD",
            "address_2": "SUITE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141590",
            "telephone_number": "770-460-6285",
            "fax_number": "770-460-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TARRA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-29",
        "last_updated": "2008-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "9162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurisha Taylor, PA
• Nia Renee Taylor, DMD
• Sandria Taylor
• Tammy Adams Taylor
• Tammy Rena Taylor
• Thomas K Taylor, MD
• Kelly Teed, MMSC, CGC
• Televatecomp Care
• Tesfaye Telila, MD
• Latasha Nicole Temple, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.