Taylor Halteman, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2024039341 Issued in MO

Practice address

1015 Bowles Ave
Fenton, MO 63026-2394

Phone

(636) 496-2430

NPI assigned

Nov 5, 2024

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1801619077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 FOREST GREEN DR",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631194545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BOWLES AVE",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262394",
            "telephone_number": "636-496-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTEMAN",
        "first_name": "TAYLOR",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2024039341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasja Haffner, LMSW
• Paige Cathleen Hagen, PHARMD
• Kaci Briann Hale, FNP
• Jeffrey J Hallazgo, M.D.
• Cassandra A Halsted, DPT
• Mary M Hammel, FNP
• Joel Hammond, MD
• James Edwin Hanny, MA, MSC. CCC/SLP
• Mansoor Ul Haq, M.D.
• Tiffany Shanta Harold, APRN

• Physical Medicine & Rehabilitation Physician in Fenton, MO
• Providers in Fenton, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.