Active NPI
Skylohr Sean Taylor
- Physical Therapist
- Lafayette, CA
National Provider Identifier
1912341827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41657
- Practice address
- 3468 Mt Diablo Blvd
Suite B110
Lafayette, CA 94549-3957 - Phone
- (925) 284-6150
- NPI assigned
- Apr 22, 2013
- 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 | PT41657 | CA | Primary |
Addresses
Primary practice location
3468 Mt Diablo Blvd
Suite B110
Lafayette, CA 94549-3957
Mailing address
3468 Mt Diablo Blvd
Suite B110
Lafayette, CA 94549-3957
Phone (925) 284-6150
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 |
|---|---|---|---|
| PT41657 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1912341827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3468 MT DIABLO BLVD",
"address_2": "SUITE B110",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945493957",
"telephone_number": "925-284-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3468 MT DIABLO BLVD",
"address_2": "SUITE B110",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945493957",
"telephone_number": "925-284-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SKYLOHR",
"middle_name": "SEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-22",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT41657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.