Tavis Mackenzie Taylor, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

170 Ridgeview Dr
Wexford, PA 15090-9432

Phone

(412) 849-5766

NPI assigned

Jan 20, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1912866575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 RIDGEVIEW DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909432",
            "telephone_number": "412-849-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 RIDGEVIEW DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909432",
            "telephone_number": "412-849-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TAVIS",
        "middle_name": "MACKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Tappe, MSN, FNP-C
• Shane Edward Tappe, BCBA
• Jennifer L Tarle, MA CCC-SLP
• Elizabeth Taughinbaugh
• Amy Wynne Taxay, CCC-SLP
• TD Opere Et Viritate, Inc
• Wendy J Teamann, CRNP
• Paul D Telega, MS,PT,OCS
• Teneral Psychiatry PLLC
• Laura Caroline Voltz Teschke, PT

• Physician Assistant in Wexford, PA
• Providers in Wexford, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.