Active NPI
Allyson Brook Taylor
- Orthopedic Physical Therapist
- Bartonville, IL
National Provider Identifier
1912629643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070.026546
- Practice address
- 1119 W Garfield Ave
Bartonville, IL 61607-1746 - Phone
- (309) 839-0470
- Fax
- (309) 839-0664
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 35656 | FL | |
| Orthopedic Physical Therapist | 2251X0800X | 070.026546 | IL | Primary |
Addresses
Primary practice location
1119 W Garfield Ave
Bartonville, IL 61607-1746
Mailing address
1119 W Garfield Ave
Bartonville, IL 61607-1746
Phone (309) 839-0470
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 |
|---|---|---|---|
| 35656 | FL | MD | Orthopedic Physical Therapist |
| 070.026546 | IL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1912629643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 W GARFIELD AVE",
"city": "BARTONVILLE",
"state": "IL",
"postal_code": "616071746",
"telephone_number": "309-839-0470",
"fax_number": "309-839-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 W GARFIELD AVE",
"city": "BARTONVILLE",
"state": "IL",
"postal_code": "616071746",
"telephone_number": "309-839-0470",
"fax_number": "309-839-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ALLYSON",
"middle_name": "BROOK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "35656",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070.026546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartonville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.