Individual provider Active NPI

Taylor Renee Piacente, DPT, PT

  • Physical Therapist
  • Mansfield, TX
National Provider Identifier
1881347292
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1315737 Issued in TX
Practice address
2851 Matlock Rd Ste 600
Mansfield, TX 76063-5039
Phone
(817) 473-6246
Fax
(817) 473-2014
NPI assigned
Jan 27, 2022
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 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 1315737 TX Primary

Addresses

Primary practice location

2851 Matlock Rd Ste 600
Mansfield, TX 76063-5039

Mailing address

2621 Delano Ave
Midland, TX 79701-6360

Other practice location 1

301 Dodson St
Midland, TX 79701-6334
Phone (432) 687-0235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220611000116 TX Practitioner - Physical Therapist in Private Practice 3375921802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Physical Therapy and Sports Rehabilitation Inc Physical Therapist CurrentSince Apr 18, 2022 Accepting new patients

Locations

2420 W Illinois Ave
Midland, TX 79701
Phone (432) 687-0235

301 Dodson St
Midland, TX 79701
Phone (432) 684-7780

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.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1881347292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 DELANO AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 MATLOCK RD STE 600",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635039",
            "telephone_number": "817-473-6246",
            "fax_number": "817-473-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Dodson St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797016334",
            "country_code": "US",
            "telephone_number": "432-687-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIACENTE",
        "first_name": "TAYLOR",
        "middle_name": "RENEE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1315737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.