Individual provider Active NPI

Taylor Irby Collins, DPT

  • Physical Therapist
  • Tupelo, MS
National Provider Identifier
1831745397
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7027 Issued in MS
Practice address
1211 S Gloster St Ste C
Tupelo, MS 38801-6548
Phone
(662) 432-1523
Fax
(662) 432-1528
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 PT7027 MS Primary
Physical Therapist 225100000X 1320449 TX

Addresses

Primary practice location

1211 S Gloster St Ste C
Tupelo, MS 38801-6548

Mailing address

1211 S Gloster St
Tupelo, MS 38801-6546
Phone (662) 432-1523

Other names 1

  • Taylor Amanda Irby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119000897 MS Practitioner - Physical Therapist in Private Practice 7517299357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sog Physical TherapyGroup PAC ID 1850627209, 20 clinicians

Practice addresses (Care Compare)

723 Concordia Ave
Suite 101
Oxford, MS 38655-1991
Phone (662) 432-1523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sog Physical Therapy Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC PastSince Dec 8, 2025 Accepting new patients

Locations

1945 Scottsville Rd
Ste B2
Bowling Green, KY 42104
Phone (270) 781-4828

199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108

723 Concordia Ave
Ste 101
Oxford, MS 38655
Phone (662) 432-1523

1211 S Gloster St
Ste C
Tupelo, MS 38801
Phone (662) 432-1523

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1831745397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016546",
            "telephone_number": "662-432-1523",
            "fax_number": "662-432-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST STE C",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016548",
            "telephone_number": "662-432-1523",
            "fax_number": "662-432-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TAYLOR",
        "middle_name": "IRBY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7027",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1320449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "IRBY",
            "middle_name": "AMANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.