NPIMap

Organization Active NPI

Taylor Physical Therapy Associates LLC

  • Physical Therapist
  • Sumner, IA
National Provider Identifier
1861591745
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TAYLOR PHYSICAL THERAPY ASSOCIATES LLC
Practice address
1014 W 1St St
Sumner, IA 50674-1273
Phone
(563) 578-5125
NPI assigned
Sep 21, 2006
Last updated
Nov 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Mr. Jerod L. Gayer, DPTNPI 1437259512
Title
Owner
Phone
(319) 352-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 00269 IA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1014 W 1St St
Sumner, IA 50674-1273

Mailing address

1306 Highway 57
Ste B
Parkersburg, IA 50665-1049
Phone (319) 346-9783

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141029002365 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951405174 Receives reassigned benefits from 37 practitioners
4 other NPIs on this enrollment
Practice locations: Parkersburg, IA; Waverly, IA; Sumner, IA; Nashua, IA; Denver, IA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Taylor Physical Therapy Associates LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 Tower St
Denver, IA 50622
Phone (319) 406-0185

80 Amherst Blvd
Ste 30
Nashua, IA 50658
Phone (641) 435-4476

80 Amherst Blvd
Ste 300
Nashua, IA 50658
Phone (641) 435-4476

1014 W 1st St
Sumner, IA 50674
Phone (563) 578-5125

1661 3rd St SW
Waverly, IA 50677
Phone (319) 483-1375

Ownership & related parties

Subparts reporting this organization as parent 7

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1861591745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HIGHWAY 57",
            "address_2": "STE B",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506651049",
            "telephone_number": "319-346-9783",
            "fax_number": "319-346-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W 1ST ST",
            "city": "SUMNER",
            "state": "IA",
            "postal_code": "506741273",
            "telephone_number": "563-578-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR PHYSICAL THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "GAYER",
        "authorized_official_first_name": "JEROD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-352-5644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "00269",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.