MEDICARE: WIILLIAM MARCUS TAYLOR PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	9537	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053347872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WIILLIAM MARCUS TAYLOR PT

Provider Business Mailing Address
First Line	:	3461 WARRENSVILLLE CENTER ROAD
Second Line	:	SUITE 201
City	:	SHAKER
State	:	OH
Zip	:	44122-4100
Country	:	US
Telephone Number	:	216-233-3412
Fax Number	:

Provider Business Practice Location Address
First Line	:	3461 WARRENSVILLE CENTER RD
Second Line	:	SUITE 201
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5260
Country	:	US
Telephone Number	:	216-233-3412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	09/01/2015

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