Individual provider Active NPI

Nilaxi Tailor

  • Physical Therapist
  • Guilderland, NY
National Provider Identifier
1962910927
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12202 Issued in SC
Practice address
106 Patroon Dr Apt 11
Guilderland, NY 12084-9636
Phone
(518) 495-5528
NPI assigned
Jan 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 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 041561 NY
Physical Therapist 225100000X 12202 SC Primary

Addresses

Primary practice location

106 Patroon Dr Apt 11
Guilderland, NY 12084-9636

Mailing address

106 Patroon Dr Apt 11
Guilderland, NY 12084-9636
Phone (518) 495-5528

Other names 1

  • Nilaxiben Tailor Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508001036 SC Practitioner - Physical Therapist in Private Practice 7517308505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041561NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vheal PT LLC Physical Therapist Current Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

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": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1962910927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PATROON DR APT 11",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849636",
            "telephone_number": "518-495-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PATROON DR APT 11",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849636",
            "telephone_number": "518-495-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAILOR",
        "first_name": "NILAXI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041561",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NILAXIBEN",
            "last_name": "TAILOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guilderland, NY

Sources for this page

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