Taylor Physical Therapy Associates LLC
Organization Active NPI Physical Therapist · Sumner, IA
NPI 1861591745 · NPPES record last updated Nov 13, 2014
Key facts
- NPI
- 1861591745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerod L. Gayer, DPT
- Title
- Owner
- Phone
- (319) 352-5644
Other NPIs on the same Medicare enrollment 4
Subparts reporting this organization as parent 7
Corporate family (same tax ID) 7
Practitioners 38
-
Ashley Appleman, DPT
-
Brynn Ann Bodermann, DPT
-
Lynda Marie Bohlmann, OTR/L
-
Garrett Thomas Cox, PT, DPT, ATC
-
Casey Doyle, PT
-
Nathan M Folkerts, D.P.T
-
Jerod Lee Gayer, DPT, ATC
-
Brady Meyer, PT, DPT
-
Jacob Lee Norton, DPT
-
Jodi L Reyerson, D.P.T.
-
Shae Lynne Tegrotenhuis, M.A. CCC-SLP
-
Adam Joseph Rave, LPT
-
Jenifer Anderson, DPT
-
Ryan Thomas Chizek, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Taylor Physical Therapy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Physical Therapist |
225100000X | 00269 | IA | |
| Occupational Therapist |
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
Other providers in Sumner, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.