Active NPIIndividual provider

Taylor Black, DPT, CSCS

Physical Therapist in Portland, Maine

NPI Number1992474753
Practice location
1145 Brighton Ave, Portland, ME 04102-1025
Fax
—
Last updated
September 7, 2021

Taylor Black is a Physical Therapist based in Portland, ME. Taylor Black practices in Portland, ME and has the professional credentials of DPT, CSCS. The NPI Number for Taylor Black is 1992474753 and holds a License No. PT6035 (ME). The current practice location address for Taylor Black is 1145 Brighton Ave, Portland, ME 04102-1025 and can be reached out via phone at 207-541-6500.

Provider Profile Details

NPI Number
1992474753
Provider Name
Taylor Black
Credential
DPT, CSCS
Provider Entity Type
Individual
Gender
Male
Address
1145 Brighton Ave, Portland, ME 04102-1025
Phone Number
207-541-6500
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 7, 2021
Last Update Date
September 7, 2021
Certification Date
September 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1145 Brighton Ave
Portland, ME 04102-1025
State
Maine
Zip
04102-1025
Phone Number
207-541-6500
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
49 Technology Dr Unit 51
Bedford, NH 03110-6970
City
Bedford
State
NH
Zip
03110-6970
Phone Number
760-695-2899

License Information

License Number
PT6035
License State
ME
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Taylor Black, DPT, CSCS?

The NPI number of Taylor Black, DPT, CSCS is 1992474753. It was assigned on September 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Taylor Black, DPT, CSCS?

Taylor Black, DPT, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number PT6035.

Where does Taylor Black, DPT, CSCS practice?

The practice location is 1145 Brighton Ave, Portland, ME 04102-1025. The office can be reached at 207-541-6500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992474753 directly on the NPPES registry website.

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