Mudrika Tailor, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305210068 Issued in VA

Practice address

4613 Duke St Ste B
Alexandria, VA 22304-2559

Phone

(703) 751-1052

Fax

(703) 751-1053

NPI assigned

May 18, 2010

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Female

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

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.48 of 100Reported as group

Quality

86.04

Promoting interoperability

99

Improvement activities

40

Cost

76.38

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Sportscare & Rehab, LLC

  dba Pivot Physical Therapy of Metro DC

  • Clinic/Center
  • Winchester, VA
  • NPI 1033142294

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Tidewater Physical Therapy, LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1457389595
  Medicare reassignment Care Compare group
• Tidewater Physical Therapy, LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Roanoke, VA
  • NPI 1437664356
  NPD
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Gloucester, VA
  • NPI 1619992872
  NPD

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1922327840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 DUKE ST STE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042559",
            "telephone_number": "703-751-1052",
            "fax_number": "703-751-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAILOR",
        "first_name": "MUDRIKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betel Tafere
• Teigest Mulatu Tafesse
• Tsion Tafesse, PHARMD
• Noureddin Taffal, DDS, MD
• Yared Taffesse, CRNP
• Soophi Tajik
• Ronda Takiedine
• Tysha-Monique Helen Talavera, LMT
• Danielle K Talbert
• Cory Jo Talbott, RDN, LDN

• Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.