Individual provider Active NPI

Taylor Nargoski, PT

  • Pediatric Physical Therapist
  • Wilkes Barre, PA
National Provider Identifier
1902684699
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT031587 Issued in PA
Practice address
182 Butler St
Wilkes Barre, PA 18702-4465
Phone
(570) 970-0402
Fax
(570) 970-0403
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT031587 PA
Pediatric Physical Therapist 2251P0200X PT031587 PA Primary

Addresses

Primary practice location

182 Butler St
Wilkes Barre, PA 18702-4465

Mailing address

PO Box 241
Dallas, PA 18612-0241

Other practice location 1

311 Wyoming Ave
Wyoming, PA 18644-1620
Phone (570) 336-0309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909000171 PA Practitioner - Physical Therapist in Private Practice 2163962986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Spine and Sports Physical Therapy LPGroup PAC ID 0840664918, 12 clinicians

Practice addresses (Care Compare)

182 Butler St
Wilkes Barre, PA 18702-4465
Phone (570) 970-0402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT031587PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Spine and Sports Physical Therapy Physical Therapist CurrentSince Jul 28, 2024 Accepting new patients
Well-Nurtured Development Physical Therapist CurrentSince Sep 17, 2023 Accepting new patients
Elite Spine and Sports Physical Therapy LP Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients

Locations

182 Butler St
Wilkes Barre, PA 18702
Phone (570) 970-0402

311 Wyoming Ave
Wyoming, PA 18644
Phone (570) 336-0309

Organizations & group practices 3

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1902684699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186120241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 BUTLER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024465",
            "telephone_number": "570-970-0402",
            "fax_number": "570-970-0403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "PA",
            "postal_code": "186441620",
            "country_code": "US",
            "telephone_number": "570-336-0309",
            "fax_number": "272-207-2774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARGOSKI",
        "first_name": "TAYLOR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031587",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT031587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.