Taylre R. Secrist, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61446728 Issued in WA

Practice address

1017 20TH St
Anacortes, WA 98221-2505

Phone

(360) 424-7041

Fax

(360) 424-2456

NPI assigned

Aug 8, 2023

Last updated

Apr 2, 2024By the provider in NPPES

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

Other identifiers 1

Other names 1

• Taylre Clark Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Temple University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Balance Point Physical Therapy Clinic LTDGroup PAC ID 2961496872, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Balance Point Physical Therapy Clinic LTD.

  dba Balance Point Physical Therapy

  • Physical Therapist
  • La Conner, WA
  • NPI 1598776296
  Medicare reassignment Care Compare group NPD
• Proliance Surgeons Inc P S

  dba Proliance Surgeons Orthopedic Specialists of Seattle

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313
  Medicare reassignment Care Compare group NPD
• Proliance Surgeons Inc P S

  dba Proliance Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463
  NPD
• Proliance Surgeons Inc P S

  dba Proliance Pacific Rim Orthopedic Surgeons

  • Multi-Specialty Clinic/Center
  • Bellingham, WA
  • NPI 1801497995
  NPD
• La Conner Health and Wellness LLC

  • Primary Care Clinic/Center
  • La Conner, WA
  • NPI 1720356876
  NPD (past)

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1871276790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S LAVENTURE RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982746033",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 20TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212505",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Continental Pl",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982734105",
            "country_code": "US",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S Laventure Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982746033",
            "country_code": "US",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECRIST",
        "first_name": "TAYLRE",
        "middle_name": "R.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61446728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2257399",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLRE",
            "last_name": "CLARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hillary Schubert
• Lamont Andante Scott, PA-C
• Sea Mar Community Health Centers
• Julia Ralph Seavello, MD MPH
• Jonathan Glover Seavey, M.D.
• Ramona Jan Severson, PT
• Chance Shaffner
• Sherman Physical Therapy, P.S (Sherman Physical Therapy)
• Paul Theodore Sherman, P.T.
• Michael D Sible, M.D.

• Physical Therapist in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.