MEDICARE: TAYLOR PHYSICAL THERAPY ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1710485446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAYLOR PHYSICAL THERAPY ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	1306 HIGHWAY 57 STE B
Second Line	:
City	:	PARKERSBURG
State	:	IA
Zip	:	50665-1075
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WARTBURG BLVD STE 1392
Second Line	:
City	:	WAVERLY
State	:	IA
Zip	:	50677-2215
Country	:	US
Telephone Number	:	319-352-8466
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JEROD LEE GAYER
Credential	:
Telephone Number	:	319-352-5644

Provider Enumeration Date	:	01/29/2018
Last Update Date	:	02/08/2018

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Directions to “TAYLOR PHYSICAL THERAPY ASSOCIATES LLC ” Practice Location

Language	Start Address	Practice Location

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