Active NPI
William Brooks Taylor, PT, DPT, OCS
- Physical Therapist
- Marietta, GA
National Provider Identifier
1861914145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013362
- Practice address
- 335 Roselane St NW Ste 201
Marietta, GA 30060-7902 - Phone
- (770) 514-1410
- NPI assigned
- Jul 8, 2017
- Last updated
- Oct 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32659 | FL | |
| Physical Therapist | 225100000X | 10825 | TN | |
| Physical Therapist | 225100000X | 013362 | GA | Primary |
Addresses
Primary practice location
335 Roselane St NW Ste 201
Marietta, GA 30060-7902
Mailing address
2069 Lake Park Dr SE Apt C
Smyrna, GA 30080-8930
Phone (901) 570-0367
Other practice location 1
35902 Hwy 27
Haines City, FL 33844-3737
Phone (863) 421-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10825 | TN | MD | General Practice Dentistry |
| 32659 | FL | MD | Physical Therapist |
| 013362 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba CORA Physical Therapy-Stoneybrook
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1861914145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2069 LAKE PARK DR SE APT C",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300808930",
"telephone_number": "901-570-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 ROSELANE ST NW STE 201",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607902",
"telephone_number": "770-514-1410"
}
],
"practiceLocations": [
{
"address_1": "35902 Hwy 27",
"address_purpose": "LOCATION",
"city": "Haines City",
"state": "FL",
"postal_code": "338443737",
"country_code": "US",
"telephone_number": "863-421-1777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "WILLIAM",
"middle_name": "BROOKS",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-08",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "32659",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10825",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "013362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.