Individual provider Active NPI

Taylor Schultz

  • Physical Therapist
  • Darien, CT
National Provider Identifier
1871198358
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14.012944-TEMP Issued in CT
Practice address
19 Old Kings Hwy S Ste 120
Darien, CT 06820-4532
Phone
(845) 825-2561
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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 14.012944-TEMP CT Primary

Addresses

Primary practice location

19 Old Kings Hwy S Ste 120
Darien, CT 06820-4532

Mailing address

19 Old Kings Hwy S Ste 120
Darien, CT 06820-4532
Phone (845) 825-2561

Other identifiers 1

IdentifierTypeStateIssuer
773999282OtherNYDRIVERS LICENSE

Other names 1

  • Taylor O'Sullivan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620001064 CT Practitioner - Physical Therapist in Private Practice 9335528488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Holding Company, LLCGroup PAC ID 3678836061, 27 clinicians

Practice addresses (Care Compare)

1234 Summer St
Suite 102
Stamford, CT 06905-5558
Phone (203) 653-7269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14.012944-TEMPCTMDPhysical Therapist
13002CTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Holding Company, LLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Elevate PT- Stamford PLLC CurrentSince May 16, 2022 Accepting new patients
Elevate PT - Trumbull PLLC PastSince Mar 4, 2021 Accepting new patients
Elevate Professional Services, LLC PastSince Dec 6, 2020 Accepting new patients

Locations

19 Old Kings Hwy S
Ste 120
Darien, CT 06820
Phone (201) 621-0050

1499 Post Rd
Fairfield, CT 06824
Phone (203) 255-6535

1234 Summer St
Ste 102
Stamford, CT 06905
Phone (203) 653-7269

6540 Main St
Ste 5
Trumbull, CT 06611
Phone (203) 816-0100

276 Post Rd W
Ste 210
Westport, CT 06880
Phone (203) 635-7110

334 Underhill Ave
Ste 1A
Yorktown Hts, NY 10598
Phone (914) 245-0298

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1871198358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OLD KINGS HWY S STE 120",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204532",
            "telephone_number": "845-825-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLD KINGS HWY S STE 120",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204532",
            "telephone_number": "845-825-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2024-01-12",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14.012944-TEMP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "773999282",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "O'SULLIVAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.