Active NPI
Larry Taylor, P.T.
- Physical Therapist
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6776
- Practice address
- 1045 N Tustin St
Orange, CA 92867-5904 - Phone
- (714) 288-8303
- Fax
- (714) 744-8153
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- 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 | 6776 | CA | Primary |
Addresses
Primary practice location
1045 N Tustin St
Orange, CA 92867-5904
Mailing address
4230 Park Newport
Newport Beach, CA 92660-6015
Phone (949) 813-1699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2116 E Orangeburg Ave
Suite B
Modesto, CA 95355-3370
Phone (209) 529-1709
2116 E Orangeburg B
Modesto, CA 95355-3370
450 Glass Lane C
Modesto, CA 95356-9287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Industrial Rehabilitatn Physical Therapy Inc a Prof Corp | Physical Therapist | Current | Accepting new patients |
Locations
1701 Coffee Rd
Ste 2
Modesto, CA 95355
Phone (209) 529-1709
2116 E Orangeburg Ave
Ste B
Modesto, CA 95355
Phone (209) 529-1709
450 Glass Ln
Ste C
Modesto, CA 95356
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1578531398
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902915010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 PARK NEWPORT",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926606015",
"telephone_number": "949-813-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675904",
"telephone_number": "714-288-8303",
"fax_number": "714-744-8153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LARRY",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "6776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.