Active NPI
Tayler Rayanna Adams, PT, DPT
- Physical Therapist
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34469
- 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, 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT34469 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Arrow Rehabilitation
- Rehabilitation Clinic/Center
- Palm Coast, FL
- NPI 1538137252
-
dba Premier Physical Therapy and Sports Medicine
- Physical Therapist
- Port Orange, FL
- NPI 1811185291
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.