Provider Demographics
NPI:1013396829
Name:TAYLOR PHYSICAL THERAPY AND SPORTS HEALTH, LLC
Entity Type:Organization
Organization Name:TAYLOR PHYSICAL THERAPY AND SPORTS HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MARCUS
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:216-505-8500
Mailing Address - Street 1:PO BOX 1083
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-9083
Mailing Address - Country:US
Mailing Address - Phone:216-505-8500
Mailing Address - Fax:216-586-3886
Practice Address - Street 1:4949 GALAXY PKWY
Practice Address - Street 2:SUITE S
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-5970
Practice Address - Country:US
Practice Address - Phone:216-505-8500
Practice Address - Fax:216-586-3886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH009537261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy