Wayne Taylor, PTA, LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8323 Issued in OR

Practice address

7839 SE 120TH PL
Portland, OR 97266-5078

Phone

(503) 730-4082

NPI assigned

Sep 17, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1871320580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7839 SE 120TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972665078",
            "telephone_number": "503-730-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7839 SE 120TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972665078",
            "telephone_number": "503-730-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "WAYNE",
        "credential": "PTA, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "6629",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "8323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Brooke Taylor, NP
• Tiffany Taylor
• Travis Lee Taylor, CRM II, CADC-R
• Tristan Vivian Taylor
• Turi Taylor
• Wendell Cole Taylor, DC
• William F Taylor, M.D.
• TBS Or LLC
• Nikola Tcherven, MD
• Tco Mental Health

• Physical Therapy Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.