Healthcare Provider Details

I. General information

NPI: 1033841267
Provider Name (Legal Business Name): TAYLER FITTS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14455 CLAY TERRACE BLVD
CARMEL IN
46032-3605
US

IV. Provider business mailing address

3430 BURNET AVE # 4007
CINCINNATI OH
45229-2833
US

V. Phone/Fax

Practice location:
  • Phone: 317-415-5886
  • Fax: 317-583-3098
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number05015854A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: