Kimberly M Taylor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08564 Issued in GA

Practice address

3712 Executive Center Dr
Martinez, GA 30907-5095

Phone

(706) 825-7527

NPI assigned

May 14, 2007

Last updated

Mar 23, 2026By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Your Aging Therapist LLCGroup PAC ID 6709285992, 8 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.

• Your Aging Therapist LLC

  • Occupational Therapist
  • Martinez, GA
  • NPI 1780263129

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Spark Wellness LLC

  • Physical Therapy Clinic/Center
  • Martinez, GA
  • NPI 1356297717

  Physical Therapist

  NPD (past) Authorized official
• Ducktails Pediatric Therapy and Wellness Inc

  • Physical Therapy Clinic/Center
  • Evans, GA
  • NPI 1558477695
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1982819629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 AYLESBURY DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308098214",
            "telephone_number": "706-825-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 EXECUTIVE CENTER DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075095",
            "telephone_number": "706-825-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "08564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000717274C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Testino (Stamen Medical Systems)
• Tapley's, Ann Personal Care Home 1
• Tapley's, Ann Personal Care Home 2
• Tapley's, Ann Personal Care Home 3
• Michael Shukri Tarakji, M.D.
• Shatiria Taylor
• Skye Taylor
• Yolonde Renee Taylor, M.S., SLP-CCC
• Teferi Tekle, PHARM D
• Chandria Tenaye Tenpenny

• Physical Therapist in Martinez, GA
• Providers in Martinez, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.