Taylor Jon McWilliams, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

11139 Issued in MN

Practice address

800 Prairie Center Dr Ste 230
Eden Prairie, MN 55344-7308

Phone

(952) 944-5314

NPI assigned

Jul 23, 2018

Last updated

Jul 23, 2018By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1942787049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18872 YARBOROUGH TRCE",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111156",
            "telephone_number": "763-516-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRAIRIE CENTER DR STE 230",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447308",
            "telephone_number": "952-944-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "TAYLOR",
        "middle_name": "JON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MN",
            "license": "11139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean McLister, PHARM.D.
• Morgan Rae McMahon, AU.D.
• Celia Louise McNally
• Rebekah A McNattin, LICSW
• Ian A McNeil, D.C.
• Medexpress Primary Care Minnesota PC (MedExpress The Well EP)
• Medexpress Primary Care Minnesota, P.C. (The Well - Eden Prairie, Optum Cir)
• Medexpress Urgent Care Minnesota P.C. (MedExpress Urgent Care - Eden Prairie, W 78th St)
• Medical Scanning Consultants, PA (Rayus Radiology)
• Medicura Transport Solutions

• Sports Physical Therapist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Sports Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.