TAYLOR J CLARK (NPI# 1376892422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376892422 |
Entity Type | Individual |
Full Name | TAYLOR J CLARK |
Credential | P.T. |
Practice Address |
800 N Fant St Anderson SC 29621-5708 |
Practice Telephone | 8645121198 |
Practice Fax Number | 8645123608 |
Mailing Telephone | 8645122751 |
Mailing Fax Number | 8645123719 |
Enumeration Date | 2012-09-05 |
Last Update Date | 2013-05-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
6775 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | TH2535 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104377340 | Taylor Clark | Specialist/Technologist | 1509 Willowross Dr, Lewisville, TX 75077-3705 | 2016-10-24 |
1336155571 | Taylor Clark | Dentist | 3 Road 6523, Kirtland, NM 87417-9452 | 2006-07-31 |
1780635037 | Taylor Coleman Clark | Dentist | 6019 N Eagle Rd, Boise, ID 83713 | 2006-05-12 |
1265047351 | Taylor Clark | Physical Therapist | 1015 W 47th Street, Norfolk, VA 23508 | 2020-09-15 |
1114578994 | Taylor Clark | Physician Assistant | 4715 Whitesburg Dr Se, Huntsville, AL 35802-1632 | 2019-09-24 |
1821567157 | Taylor L Clark | Registered Nurse | 7777 Forest Ln Ste C650, Dallas, TX 75230-6867 | 2018-11-15 |
1235657545 | Taylor E Clark | Nurse Practitioner | 455 Park Pl Ste 130, Lexington, KY 40511-1830 | 2017-09-07 |
1174040455 | Taylor Ashton Clark | Physical Therapist | 1289 Oliver St, Fayetteville, NC 28304-4450 | 2017-08-28 |
1740729599 | Taylor Clark | Social Worker | 2100 Main St, Baker City, OR 97814-2655 | 2017-02-13 |
1275823965 | Taylor Chapman Clark | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, M691, San Francisco, CA 94143-0110 | 2011-04-14 |
Street Address |
800 N FANT ST |
City | ANDERSON |
State | SC |
Zip Code | 29621-5708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730182262 | Sarah Anne Cummings | Nurse Anesthetist, Certified Registered | 800 N Fant St, Anderson, SC 29621-5708 | 2005-05-30 |
1922623677 | Ivy Ray | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2020-06-09 |
1003431701 | Jennifer E Thompson | Pharmacist | 800 N Fant St, Anderson, SC 29621-5708 | 2020-06-09 |
1174165054 | Heather Marshall Ford | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-10-12 |
1700349206 | Carleen O'connell | Registered Nurse | 800 N Fant St, Anderson, SC 29621-5708 | 2019-04-11 |
1942769666 | Dharti Patel | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-03-13 |
1760940225 | Meredith H Hargrove | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-03-04 |
1780169276 | Brent Austin Harris | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2018-10-01 |
1356826929 | Donna Annette Patterson | Registered Nurse | 800 N Fant St, Anderson, SC 29621-5708 | 2018-09-30 |
1174002059 | Ich Er Services, LLC | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2018-08-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
Find all providers in zip 29621 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598281255 | Developmental Center for Exceptional Children | Physical Therapist | 1100 West Franklin Street, Anderson, SC 29624 | 2017-08-15 |
1861662587 | Siler Therapy Services LLC | Physical Therapist | 101 Old Village Dr, Anderson, SC 29621-2558 | 2008-03-10 |
1932309374 | Mariana S Travis | Physical Therapist | 1700 S Fant St, Anderson, SC 29624-3321 | 2007-07-24 |
1336190305 | Sybil K. Todd | Physical Therapist | 800 N Fant St, Anderson, SC 29621-5708 | 2006-05-15 |
1952352924 | Lois V. Goldsmith | Physical Therapist | 800 N Fant St, Anderson, SC 29621-5708 | 2006-05-15 |
1134170210 | Maria F. Terrell | Physical Therapist | 800 N Fant St, Anderson, SC 29621-5708 | 2006-05-13 |
1881642932 | Cecile E. Cruce | Physical Therapist | 800 N Fant St, Anderson, SC 29621-5708 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285244756 | Cathy Schreiber | Physical Therapist | 2387 Lantern St, Charleston, SC 29414-4850 | 2020-08-08 |
1982221016 | Milestones & Movement Pediatric Physical Therapy, LLC | Physical Therapist | 206 Calm Water Way, Summerville, SC 29486-6902 | 2020-07-06 |
1114559192 | Stephen Bendziewicz | Physical Therapist | 206 Blackstone Dr, Irmo, SC 29063-7838 | 2020-02-07 |
1811467939 | Upstate Therapy Works | Physical Therapist | 256 Dellwood Dr, Spartanburg, SC 29301-5023 | 2018-12-01 |
1518433028 | Kimberly (kim) Fowler King | Physical Therapist | 334 Monroe Dr, Piedmont, SC 29673-9731 | 2018-10-23 |
1346725306 | Walker Physical Therapy & Wellness, LLC | Physical Therapist | 4720 Grey Moss Dr, Clover, SC 29710-8706 | 2018-09-26 |
1104313261 | Purposeful Play Pediatric Physical Therapy, LLC | Physical Therapist | 17 Plantation Cir, Summerville, SC 29485-3474 | 2018-04-15 |
1649785270 | Jaunitha Magwood | Physical Therapist | 124 Lisa Dr, Summerville, SC 29485-5307 | 2017-12-05 |
1629587191 | Playxcience LLC | Physical Therapist | 2023 Taney Way, Indian Land, SC 29707-7488 | 2017-09-27 |
1871031641 | Spark Therapy Group LLC | Physical Therapist | 9 Drexel Ave, Greenville, SC 29615-1407 | 2017-02-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.