Active NPI
Taylor Schultz
- Physical Therapist
- Darien, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14.012944-TEMP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 773999282 | Other | NY | DRIVERS LICENSE |
Other names 1
- Taylor O'Sullivan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14.012944-TEMP | CT | MD | Physical Therapist |
| 13002 | CT | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Holding Company, LLC | Physical Therapist | Current | Accepting new patients |
| Elevate PT- Stamford PLLC | Current | Accepting new patients | |
| Elevate PT - Trumbull PLLC | Past | Accepting new patients | |
| Elevate Professional Services, LLC | Past | 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.
-
- Specialist
- Stamford, CT
- NPI 1477106482
-
- Specialist
- Darien, CT
- NPI 1114430782
-
- Specialist
- Trumbull, CT
- NPI 1710571062
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.