Active NPI
Carmen Leigh Taylor, LPTA
- Physical Therapy Assistant
- Jackson, MS
National Provider Identifier
1972796076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA1329
- Practice address
- 13 Northtown Dr
Suite 110
Jackson, MS 39211-3047 - Phone
- (601) 206-9195
- Fax
- (601) 957-8391
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA1329 | MS | Primary |
Addresses
Primary practice location
13 Northtown Dr
Suite 110
Jackson, MS 39211-3047
Mailing address
13 Northtown Dr
Suite 110
Jackson, MS 39211-3047
Phone (601) 206-9195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA1329 | MS | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Rehabilitation Inc | Physical Therapy Assistant | Past | Accepting new patients |
Organizations & group practices 1
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": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1972796076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 NORTHTOWN DR",
"address_2": "SUITE 110",
"city": "JACKSON",
"state": "MS",
"postal_code": "392113047",
"telephone_number": "601-206-9195",
"fax_number": "601-957-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 NORTHTOWN DR",
"address_2": "SUITE 110",
"city": "JACKSON",
"state": "MS",
"postal_code": "392113047",
"telephone_number": "601-206-9195",
"fax_number": "601-957-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CARMEN",
"middle_name": "LEIGH",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MS",
"license": "PTA1329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.