Individual provider Active NPI

Brandon Taylor, DPT

  • Physical Therapist
  • Whiteford, MD
National Provider Identifier
1992496897
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 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
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Physical Therapy & Sports Rehabilitation LP Physical Therapist CurrentSince Jun 21, 2023 Accepting new patients
Agape Physical Therapy & Sports Rehabilitation LP Physical Therapist PastSince 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1992496897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210500179",
            "telephone_number": "443-424-0001",
            "fax_number": "443-424-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 DOOLEY RD STE 3",
            "city": "WHITEFORD",
            "state": "MD",
            "postal_code": "211601130",
            "telephone_number": "443-424-0001",
            "fax_number": "443-424-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteford, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.