Individual provider Active NPI

Olivia Ann Taylor, MPT, DPT

  • Physical Therapist
  • Richlands, NC
National Provider Identifier
1861550709
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7502 Issued in NC
Practice address
7011 Gum Branch Rd
Richlands, NC 28574-8227
Phone
(910) 389-6749
Fax
(370) 324-4325
NPI assigned
Dec 4, 2006
Last updated
Feb 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7502 NC Primary

Addresses

Primary practice location

7011 Gum Branch Rd
Richlands, NC 28574-8227

Mailing address

7011 Gum Branch Rd
Richlands, NC 28574-8227
Phone (910) 389-6749

Other identifiers 1

IdentifierTypeStateIssuer
7212203MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151112000964 NC Practitioner - Physical Therapist in Private Practice 7113237645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7502NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Step Therapy Inc Physical Therapist CurrentSince Aug 11, 2009 Accepting new patients
Move, Learn, Play, Inc. CurrentSince Jan 15, 2016 Accepting new patients

Locations

325 Sound Rd
Holly Ridge, NC 28445
Phone (910) 329-9941

410 New Bridge St
Ste 10A
Jacksonville, NC 28540
Phone (910) 347-2212

8905 Richlands Hwy
Richlands, NC 28574
Phone (910) 430-2201

7011 Gum Branch Rd
Richlands, NC 28574
Phone (910) 290-2170

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1861550709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 GUM BRANCH RD",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748227",
            "telephone_number": "910-389-6749",
            "fax_number": "370-324-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 GUM BRANCH RD",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748227",
            "telephone_number": "910-389-6749",
            "fax_number": "370-324-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "OLIVIA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "7502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212203",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.