Healthcare Provider Details

I. General information

NPI: 1821749847
Provider Name (Legal Business Name): STEPHANIE MARIA TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1393 DUBLIN RD
COLUMBUS OH
43215-1084
US

IV. Provider business mailing address

1393 DUBLIN RD
COLUMBUS OH
43215-1084
US

V. Phone/Fax

Practice location:
  • Phone: 614-487-9716
  • Fax:
Mailing address:
  • Phone: 614-487-9715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022334
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: