PHILIP TAYLOR (NPI# 1083007991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083007991 |
| Entity Type | Individual |
| Full Name | PHILIP TAYLOR |
| Practice Address |
110 Mooney Dr Suite 5 Bourbonnais IL 60914-2171 |
| Practice Telephone | 8159360611 |
| Mailing Telephone | 8159360611 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096002399 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568689578 | Philip Grant Taylor | Specialist | 161 Atlantic Avenue, Brooklyn, NY 11201 | 2007-04-19 |
| 1386638450 | Philip E Taylor | Dentist | 911 Cherry St, Greensboro, NC 27401-1421 | 2005-09-06 |
| 1154329829 | Philip L. Taylor | Psychologist | 28 N Lime St, Lancaster, PA 17602-2949 | 2005-07-07 |
| 1487027140 | Philip Taylor | Behavioral Analyst | 3214 W Mcgraw St, 212, Seattle, WA 98199-3239 | 2015-11-03 |
| 1124433974 | Philip Karstin Taylor | Internal Medicine | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2014-06-30 |
| 1821437039 | Philip J Taylor Jr. | Counselor | 289 Independence Blvd, Virginia Beach, VA 23462-5493 | 2013-06-20 |
| 1861689747 | Philip David Taylor | Counselor | 3200 Johnson Rd, Steubenville, OH 43952-2363 | 2007-09-25 |
| 1730297920 | Philip O Taylor I | Dentist | 1210 W Braker Lane, Austin, TX 78758-3308 | 2006-08-28 |
| 1053334797 | Philip W Taylor | Internal Medicine | 3250 Gordonville Rd, Ste 301, Cape Girardeau, MO 63703-5056 | 2006-07-25 |
| 1649201245 | Philip Taylor | Obstetrics & Gynecology | 3152 Port Sheldon St, Suite C, Hudsonville, MI 49426-9297 | 2006-07-05 |
| Street Address |
110 MOONEY DR SUITE 5 |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914-2171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912318 | Celia L Stoltz | Counselor | 110 Mooney Dr, Suite #1, Bourbonnais, IL 60914-2171 | 2005-09-13 |
| 1629397401 | Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | 110 Mooney Dr, Suite 5, Bourbonnais, IL 60914-2171 | 2010-05-19 |
| 1063642387 | Zachary Erb | Physical Therapist | 110 Mooney Dr, Suite 5, Bourbonnais, IL 60914-2171 | 2009-07-21 |
| 1346483559 | Janeen Marie Kovacevic | Physical Therapist | 110 Mooney Dr, Suite 5, Bourbonnais, IL 60914-2171 | 2009-04-17 |
| 1821255290 | Awareness, Inc. | Counselor | 110 Mooney Dr, Suite 1, Bourbonnais, IL 60914-2171 | 2008-05-21 |
| 1740461946 | Christopher Deschand | Physical Therapy Assistant | 110 Mooney Dr, Ste 5, Bourbonnais, IL 60914-2171 | 2007-11-16 |
| 1558499020 | Mcinnes Counseling Services Inc | Counselor | 110 Mooney Dr, Ste.#1, Bourbonnais, IL 60914-2171 | 2007-02-28 |
| 1598891384 | Ruth Ann Mcinnes | Counselor | 110 Mooney Dr, Ste#1, Bourbonnais, IL 60914-2171 | 2007-02-26 |
| 1356315295 | Jaclyn Mae Skrobot | Specialist/Technologist | 110 Mooney Dr, Bourbonnais, IL 60914-2171 | 2006-02-15 |
| 1750354254 | Carrie Lynn Spitalli | Psychologist | 110 Mooney Dr, Suite 1, Bourbonnais, IL 60914-2171 | 2006-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700332202 | Kayleigh Elizabeth Hollywood | Specialist/Technologist | 5132 N Pin Oak Turn, Bourbonnais, IL 60914-5500 | 2016-08-25 |
| 1225432628 | Whitney Edwards | Specialist/Technologist | 230 E Bethel Dr, Bourbonnais, IL 60914-1453 | 2014-10-14 |
| 1487618989 | William Robert Geasa Jr. | Specialist/Technologist | 100 University Ave, Olivet Nazarene University, Bourbonnais, IL 60914-2220 | 2006-04-13 |
| 1407818818 | Casey L Nicole | Specialist/Technologist | 350 Main St Nw, Unit B, Bourbonnais, IL 60914-2383 | 2006-04-03 |
| 1720056229 | Andrea Irene Rutherford | Specialist/Technologist | 374 Larry Power Rd, Bourbonnais, IL 60914-5187 | 2006-03-09 |
| 1992796403 | Frank John Markett | Specialist/Technologist | 1275 N Convent St, Suite 3, Bourbonnais, IL 60914-8210 | 2005-11-03 |
| 1629624754 | Alicia Marie Mikulski | Specialist/Technologist | 1 University Ave, Bourbonnais, IL 60914-2345 | 2019-08-14 |
| 1184145542 | Ashley Lynn Cirrencione | Specialist/Technologist | 1275 N Convent St, Bourbonnais, IL 60914-8210 | 2017-07-06 |
| 1033583968 | Katherine Mcardle | Specialist/Technologist | 1 University Ave, Bourbonnais, IL 60914-2345 | 2015-11-16 |
| 1811369234 | Zachary Steven Fienhold | Specialist/Technologist | 1 University Ave, Bourbonnais, IL 60914-2345 | 2015-10-25 |
| Find all providers in BOURBONNAIS | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
Please comment or provide details below to improve the information on PHILIP TAYLOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.