Individual provider Active NPI

Jessica Marie Taylor, DPT

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1932684370
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25881 Issued in MA
Practice address
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone
(910) 484-4653
Fax
(910) 483-9256
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P23756 NC
Physical Therapist 225100000X 25881 MA Primary

Addresses

Primary practice location

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774

Mailing address

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211217000127 MA Practitioner - Physical Therapist in Private Practice 5597156034 Reassigns benefits to 3 organizations
I20250219002411 NC Practitioner - Physical Therapist in Private Practice 5597156034 Reassigns benefits to 1 organization
I20251027000553 DC Practitioner - Physical Therapist in Private Practice 5597156034 Reassigns benefits to 1 organization
Practice locations: Greenbelt, MD

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

119 Route 137
Harwich, MA 02645-2153
Phone (774) 237-4088

173 Essex St
FL 1
Swampscott, MA 01907-1150
Phone (781) 586-0550

7567 Greenbelt Rd
Greenbelt, MD 20770-3403
Phone (301) 479-1008

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30604MDMDPhysical Therapist
PT61552392WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Dec 26, 2023 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Dec 26, 2023 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 24, 2025 Accepting new patients
Oasis Physical Therapy, PLLC Physical Therapist CurrentSince Aug 5, 2013 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 9, 2025 Accepting new patients
Proex Physical Therapy, LLC CurrentSince Jun 23, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 24, 2025 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Jun 23, 2025 Accepting new patients
Cumberland County Hospital System Inc Physical Therapist CurrentSince Jan 9, 2025 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

119 Route 137
Harwich, MA 02645
Phone (508) 432-8686

1250 Hancock St
Ste 121S
Quincy, MA 02169
Phone (617) 770-1696

124 Broadway
Ste A
Saugus, MA 01906
Phone (781) 813-5002

7567 Greenbelt Rd
Greenbelt, MD 20770
Phone (301) 479-1008

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

1991 Fordham Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 484-4653

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

576 Broadhollow Rd
Melville, NY 11747

6825 Burden Blvd
Ste D
Pasco, WA 99301
Phone (509) 416-0444

1020 Queensgate Dr
Richland, WA 99352
Phone (509) 578-5100

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1932684370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043774",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043774",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23756",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.