Provider Demographics
NPI:1356317697
Name:TAYLOR, BRITTON E (MPT)
Entity Type:Individual
Prefix:MR
First Name:BRITTON
Middle Name:E
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8098 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2270
Mailing Address - Country:US
Mailing Address - Phone:330-856-3355
Mailing Address - Fax:330-856-5533
Practice Address - Street 1:8098 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2270
Practice Address - Country:US
Practice Address - Phone:330-856-3355
Practice Address - Fax:330-856-5533
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-09512225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2390596Medicaid
OH9301693Medicare PIN
OH4101901Medicare ID - Type Unspecified