Individual provider Active NPI

Jennifer J Taylor, MPT, ATC

  • Physical Therapist
  • Columbia, MO
National Provider Identifier
1912017666
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3301 W Broadway Business Park CT Ste F
Columbia, MO 65203-0106
Phone
(573) 447-0422
Fax
(573) 447-0434
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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 Primary

Addresses

Primary practice location

3301 W Broadway Business Park CT Ste F
Columbia, MO 65203-0106

Mailing address

3301 W Broadway Business Park CT Ste F
Columbia, MO 65203-0106
Phone (573) 447-0422

Other identifiers 1

IdentifierTypeStateIssuer
2003022304OtherMOLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000141 MO Practitioner - Physical Therapist in Private Practice 0941334908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

200 NE 54TH St
Suite 101
Kansas City, MO 64118-4338
Phone (816) 455-0301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Oct 31, 2022 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 31, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

155 Siemers Dr
Ste 8
Cape Girardeau, MO 63701
Phone (573) 334-6711

3301 W Broadway Business Park Ct
Ste F
Columbia, MO 65203
Phone (573) 447-0422

200 N Keene St
Columbia, MO 65201
Phone (573) 874-0001

200 NE 54th St
Ste 101
Kansas City, MO 64118
Phone (816) 455-0301

Organizations & group practices 4

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.

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": "1389312000000",
    "number": "1912017666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W BROADWAY BUSINESS PARK CT STE F",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030106",
            "telephone_number": "573-447-0422",
            "fax_number": "573-447-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W BROADWAY BUSINESS PARK CT STE F",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030106",
            "telephone_number": "573-447-0422",
            "fax_number": "573-447-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "2003022304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.