Taylor Danielle Reid, PT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

070.025829 Issued in IL

Practice address

748 E Park Ave
Libertyville, IL 60048-2907

Phone

(815) 409-0623

NPI assigned

Mar 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Outperforming Physical Therapy & Performance

  • Physical Therapy Clinic/Center
  • Libertyville, IL
  • NPI 1922730662
  NPD Authorized official
• Kime Performance Nevada LLC

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1053918185
  NPD (past)

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1992390074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19071 W LAKE VIEW AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600603518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 E PARK AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482907",
            "telephone_number": "815-409-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "TAYLOR",
        "middle_name": "DANIELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299336",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IL",
            "license": "070.025829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jean Reeves, MD
• Reflections Counseling and Assessment LLC
• Prudence Rehm
• Steven Reich, MD
• Reichert Prosthetics & Orthotics, LLC
• Lori J Reily, MHS, PT
• Linda Stanton Remensnyder, AUD
• Lourdes Rendon, MS, BCBA
• Lea Reniva Cortez
• Ariele L Riboh, LCPC, NCC, BC-DMT

• Sports Physical Therapist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Sports Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.