Individual provider Active NPI

Tayler Rayanna Adams, PT, DPT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1891253746
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34469 Issued in FL
Practice address
4320 A1A S Ste 7
Saint Augustine, FL 32080-7436
Phone
(904) 679-3449
Fax
(904) 679-3436
NPI assigned
Mar 11, 2019
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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 PT34469 FL Primary

Addresses

Primary practice location

4320 A1A S Ste 7
Saint Augustine, FL 32080-7436

Mailing address

105 Mariner Health Way Ste 213
Saint Augustine, FL 32086-3251
Phone (904) 217-4259

Other practice location 1

5575 A1A S Ste 113
St Augustine, FL 32080-7045
Phone (904) 217-8601

Other practice location 2

31 Lupi Ct Ste 150
Palm Coast, FL 32137-4761
Phone (386) 447-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34469FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Almberg Clinics Inc Past Accepting new patients
University Rehabilitation, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1891253746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MARINER HEALTH WAY STE 213",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320863251",
            "telephone_number": "904-217-4259",
            "fax_number": "904-217-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 A1A S STE 7",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807436",
            "telephone_number": "904-679-3449",
            "fax_number": "904-679-3436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 A1A S Ste 113",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320807045",
            "country_code": "US",
            "telephone_number": "904-217-8601",
            "fax_number": "904-342-5688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Lupi Ct Ste 150",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321374761",
            "country_code": "US",
            "telephone_number": "386-447-0011",
            "fax_number": "386-447-0161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TAYLER",
        "middle_name": "RAYANNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.