Organization Active NPI

Taylor Sport Chiropractic PLLC

  • Sports Physician Chiropractor
  • League City, TX
National Provider Identifier
1952412819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
10254 Issued in TX
Legal business name
TAYLOR SPORT CHIROPRACTIC PLLC
Practice address
618 W Main St Ste 102
League City, TX 77573-3772
Phone
(281) 332-4476
Fax
(281) 332-4608
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Thea M Taylor, DC
Title
Doctor Owner
Phone
(281) 332-4476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 10254 TX Primary

Addresses

Primary practice location

618 W Main St Ste 102
League City, TX 77573-3772

Mailing address

618 W Main St Ste 102
League City, TX 77573-3772
Phone (281) 332-4476

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952412819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W MAIN ST STE 102",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733772",
            "telephone_number": "281-332-4476",
            "fax_number": "281-332-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W MAIN ST STE 102",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733772",
            "telephone_number": "281-332-4476",
            "fax_number": "281-332-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR SPORT CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "THEA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "281-332-4476",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.