Healthcare Provider Details

I. General information

NPI: 1285449348
Provider Name (Legal Business Name): ALEX J TAYLOR DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 FOULK RD STE 2D
WILMINGTON DE
19803-3733
US

IV. Provider business mailing address

701 FOULK RD STE 2D
WILMINGTON DE
19803-3733
US

V. Phone/Fax

Practice location:
  • Phone: 302-654-8142
  • Fax: 302-654-8143
Mailing address:
  • Phone: 302-654-6142
  • Fax: 302-854-6143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: