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NPI Code Detail

MEDICARE: PAYTON TALIAFERRO DPT

MEDICARE: PAYTON TALIAFERRO DPT
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
1225100000XPhysical Therapist5501304424MI

General Provider Information

NPI Number : 1497608210
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAYTON TALIAFERRO DPT
Provider Business Mailing Address
First Line : 33900 HARPER AVE STE 104
Second Line :
City : CLINTON TWP
State : MI
Zip : 48035-4258
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2771 OAK VALLEY DR
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-9244
Country : US
Telephone Number : 734-821-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/20/2026

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Directions to “ PAYTON TALIAFERRO DPT” Practice Location

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