Individual provider Active NPI

Courtney Sue Taggart, D.P.T.

  • Physical Therapist
  • Titusville, PA
National Provider Identifier
1831523778
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022828 Issued in PA
Practice address
202 Union St
Titusville, PA 16354-1166
Phone
(814) 827-8148
Fax
(814) 827-0349
NPI assigned
Aug 28, 2013
Last updated
Oct 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT022828 PA Primary
Physical Therapist 225100000X 14539 NC

Addresses

Primary practice location

202 Union St
Titusville, PA 16354-1166

Mailing address

3236 State Hwy 257 Suite 1
PO Box 248
Seneca, PA 16346-0248
Phone (814) 670-0534

Other identifiers 2

IdentifierTypeStateIssuer
102984905 0005MedicaidPA
848HOtherNCBCBS

Other names 1

  • Courtney Sue Taggart Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT022828PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Physical Therapy Etc PC PastSince Feb 8, 2023 Accepting new patients
Excel Physical Therapy Physical Therapist PastSince Sep 8, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1831523778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 STATE HWY 257 SUITE 1",
            "address_2": "PO BOX 248",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163460248",
            "telephone_number": "814-670-0534",
            "fax_number": "814-670-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 UNION ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541166",
            "telephone_number": "814-827-8148",
            "fax_number": "814-827-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGGART",
        "first_name": "COURTNEY",
        "middle_name": "SUE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022828",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "14539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102984905 0005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "848H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "TAGGART",
            "middle_name": "SUE",
            "credential": "D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Titusville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.