NPIMap

Organization Active NPI

Taylor Made Physical Therapy

  • Physical Therapist
  • Port Deposit, MD
National Provider Identifier
1962896183
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22931 Issued in MD
Legal business name
TAYLOR MADE PHYSICAL THERAPY
Practice address
1993 Goshen LN
Port Deposit, MD 21904-2105
Phone
(443) 350-6150
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Bethany K Taylor
Title
PT
Phone
(443) 350-6150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 22931 MD Primary

Addresses

Primary practice location

1993 Goshen LN
Port Deposit, MD 21904-2105

Mailing address

1993 Goshen LN
Port Deposit, MD 21904-2105
Phone (443) 350-6150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1962896183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 GOSHEN LN",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219042105",
            "telephone_number": "443-350-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 GOSHEN LN",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219042105",
            "telephone_number": "443-350-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MADE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "443-350-6150"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Deposit, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.