MEDICARE: JAI TAYLOR

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	225100000X	Physical Therapist	30792	MD
2	225100000X	Physical Therapist	CP058012T	VA

General Provider Information

NPI Number	:	1538008594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAI TAYLOR

Provider Business Mailing Address
First Line	:	PO BOX 412307
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-2307
Country	:	US
Telephone Number	:	914-294-4050
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 BEARDS HILL RD STE A&B
Second Line	:
City	:	ABERDEEN
State	:	MD
Zip	:	21001-2270
Country	:	US
Telephone Number	:	410-297-8141
Fax Number	:

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

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	06/10/2026

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Directions to “ JAI TAYLOR ” Practice Location

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