Individual provider Active NPI

Debra Taylor, P.T.

  • Specialist
  • Mobile, AL
National Provider Identifier
1962431361
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PTH2461 Issued in AL
Practice address
1261 Hillcrest Rd # B1
Mobile, AL 36695-4026
Phone
(251) 344-4212
Fax
(251) 306-0153
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 PTH2461 AL
Specialist 174400000X PTH2461 AL Primary

Addresses

Primary practice location

1261 Hillcrest Rd # B1
Mobile, AL 36695-4026

Mailing address

1261 Hillcrest Rd # B1
Mobile, AL 36695-4026
Phone (251) 344-4212

Other identifiers 3

IdentifierTypeStateIssuer
051102171OtherALBCBS NEW
51543223OtherALBCBS DAPHNE LOCATION
51528868OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000135 AL Practitioner - Physical Therapist in Private Practice 9830146273 Receives reassigned benefits from 2 practitioners
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH2461ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Debra H Taylor Specialist PastSince Jan 1, 1990 Accepting new patients
Cancer Rehab & Edema Specialist Specialist Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1962431361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 HILLCREST RD # B1",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954026",
            "telephone_number": "251-344-4212",
            "fax_number": "251-306-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 HILLCREST RD # B1",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954026",
            "telephone_number": "251-344-4212",
            "fax_number": "251-306-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DEBRA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2461",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "PTH2461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NEW",
            "identifier": "051102171",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DAPHNE LOCATION",
            "identifier": "51543223",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51528868",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.

Verify at the official NPI Registry.