Active NPI
Taryn Marie Nixon
- Physical Therapist
- Hertford, NC
National Provider Identifier
1942792338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18308
- Practice address
- 198 Gibson Rd
Hertford, NC 27944-8385 - Phone
- (724) 714-5099
- NPI assigned
- Jun 1, 2018
- Last updated
- Jan 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305211967 | VA | |
| Physical Therapist | 225100000X | PTL0015622 | CO | |
| Physical Therapist | 225100000X | P18308 | NC | Primary |
Addresses
Primary practice location
198 Gibson Rd
Hertford, NC 27944-8385
Mailing address
198 Gibson Rd
Hertford, NC 27944-8385
Phone (724) 714-5099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230105002626 | NC | Practitioner - Physical Therapist in Private Practice | 5395115463 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL0015622 | CO | MD | Physical Therapist |
| P18308 | NC | MD | Physical Therapist |
| 2305211967 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1942792338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 GIBSON RD",
"city": "HERTFORD",
"state": "NC",
"postal_code": "279448385",
"telephone_number": "724-714-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 GIBSON RD",
"city": "HERTFORD",
"state": "NC",
"postal_code": "279448385",
"telephone_number": "724-714-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "TARYN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-01",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211967",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL0015622",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hertford, NC
- Brandy Michelle Mayberry
- Chambree Nicole McClure
- Andrea Fowler Morris, NCC, LPCA
- Beth Neel, PA-C
- Tracy Lee Nixon-Evans, M.S., OTR/L
- Brittany Owens, MS, CCC-SLP
- Shannon T Parker, M.S., CCC-SLP
- Perquimans County Schools
- Perquimans Opco Holdings LLC (The Landings of Albemarle)
- Phoenix Health & Human Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.