Active NPI
Whitley Taylor
- Physical Therapist
- Baxley, GA
National Provider Identifier
1902590797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014988
- Practice address
- 34 NW Park Ave
Baxley, GA 31513-0049 - Phone
- (912) 366-6590
- NPI assigned
- Jun 6, 2023
- 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 | PT014988 | GA | Primary |
Addresses
Primary practice location
34 NW Park Ave
Baxley, GA 31513-0049
Mailing address
495 Herrington Rd
Hazlehurst, GA 31539-5311
Phone (912) 253-2822
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014988 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1902590797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 HERRINGTON RD",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315395311",
"telephone_number": "912-253-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 NW PARK AVE",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315130049",
"telephone_number": "912-366-6590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "WHITLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baxley, GA
- Kaylee Shay Stipe, M.A., BCBA
- Jessica Jade Stone Lamb, LPC
- Sarah Chapman Swinson, PHARMD
- Tattnall Hospital Company, LLC
- Kallie Taylor, DPT
- Telehealth Resources, LLC
- Gregory Alan Teston, LICENSE ACUPUNCTURIS
- The Baxley & Appling County Hospital Authority
- The Baxley & Appling County Hospital Authority
- The Baxley and Appling County Hospital Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.