Marisa Erin Taylor, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300220 Issued in CA

Practice address

1879 Portola Rd Ste A2
Ventura, CA 93003-8095

Phone

(805) 644-1273

NPI assigned

Jul 2, 2021

Last updated

Jul 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Physical Therapy Services IncGroup PAC ID 7810881083, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunrise Physical Therapy Services, Inc

  • Orthopedic Physical Therapist
  • Oxnard, CA
  • NPI 1275553034
  Medicare reassignment Care Compare group NPD
• Sunrise Physical Medicine and Wellness Center, Inc.

  • Chiropractor
  • Sunrise, FL
  • NPI 1043323298
  NPD (past)

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1972174779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 PORTOLA RD STE A2",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038095",
            "telephone_number": "805-644-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 PORTOLA RD STE A2",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038095",
            "telephone_number": "805-644-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARISA",
        "middle_name": "ERIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Taylor, DO
• Brian Steven Taylor, M.D.
• Christopher Taylor
• Debra Laraine Taylor, MFT
• Jillian Taylor
• Meghan Marie Taylor
• Thomas Taylor, PSY.D.
• Heather Te, LMFT, LPCC
• Emily Teague
• Solomon Teckle, M.D.

• Physical Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.