Brandon Taylor, DPT

Individual provider Active NPI Physical Therapist · Whiteford, MD

NPI 1992496897 · NPPES record last updated May 19, 2023

Key facts

NPI
1992496897
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
1606 Dooley Rd Ste 3
Whiteford, MD 21160-1130
Phone
(443) 424-0001
Fax
(443) 424-0134
NPI assigned
May 19, 2023
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230711001475 MD Practitioner - Physical Therapist in Private Practice 8820457625 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Physical Therapy & Sports Rehabilitation LP Physical Therapist Current
since Jun 21, 2023
Accepting new patients
Agape Physical Therapy & Sports Rehabilitation LP Physical Therapist Past
since May 21, 2023
Accepting new patients

Locations

2304 E Churchville Rd
Bel Air, MD 21015
Phone (410) 734-6556

12 Newport Dr
Ste A
Forest Hill, MD 21050
Phone (410) 838-6808

1606 Dooley Rd
Ste 3
Whiteford, MD 21160
Phone (443) 424-0001

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MD Yes

Addresses

Primary practice location

1606 Dooley Rd Ste 3
Whiteford, MD 21160-1130

Mailing address

PO Box 179
Forest Hill, MD 21050-0179
Phone (443) 424-0001

Other providers in Whiteford, MD

All providers in Whiteford, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.