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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711001475 | MD | Practitioner - Physical Therapist in Private Practice | 8820457625 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Physical Therapy & Sports Rehabilitation LP | Physical Therapist | Current |
Accepting new patients |
| Agape Physical Therapy & Sports Rehabilitation LP | Physical Therapist | Past |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Mary Bernadette Martello
- Mary Patricia Matejka
- Christopher Alexander Psaros
- Saubels Market LLC
- Taylor Physical Therapy, P.C.
- Whiteford Darlington, LLC
- Whiteford Darlington, LLC
- Whiteford Pharmacy Inc.
- Whiteford Volunteer Fire Company Inc
All providers in Whiteford, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.