Active NPI
Courtney Sue Taggart, D.P.T.
- Physical Therapist
- Titusville, PA
National Provider Identifier
1831523778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT022828
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102984905 0005 | Medicaid | PA | |
| 848H | Other | NC | BCBS |
Other names 1
- Courtney Sue Taggart
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT022828 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Physical Therapy Etc PC | Past | Accepting new patients | |
| Excel Physical Therapy | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Cochranton, PA
- NPI 1346956554
-
- Physical Therapist
- Seneca, PA
- NPI 1760773501
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.