Taylor Nicole Parham, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

129067 Issued in AK

Practice address

641 W Willoughby Ave Ste 206
Juneau, AK 99801-1748

Phone

(907) 586-5951

NPI assigned

Dec 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1861908907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W WILLOUGHBY AVE STE 206",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W WILLOUGHBY AVE STE 206",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011748",
            "telephone_number": "907-586-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AK",
            "license": "129067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Pagenkopf, MPT
• Danica Ann Paguio
• William M Palmer, MD
• John E Pappenheim, MD
• Bradford Gregory Parfitt, LCSW, CDCII, BHAIII
• Justin Parish
• Hannah Parker, DO
• Robert J Parker
• Steven Tudor Parker, MD
• Robert Lawrence Partin, BHS

• Physical Medicine & Rehabilitation Physician in Juneau, AK
• Providers in Juneau, AK by specialty
• Physical Medicine & Rehabilitation Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.