JENNIFER TAYLOR – Physical Therapist, NPI 1295110583

JENNIFER TAYLOR is a healthcare provider. based in Mims, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT27542 (FL). The NPI Number for JENNIFER TAYLOR is 1295110583

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER TAYLOR
NPI
1295110583
Phone
Not provided
Address
3218 LEGACY DR
Enumeration Date
28 July 2015
Last Update Date
28 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212416543
Graduation Year
2012 (14 years ago)
PAC ID
4789160367
Group Practice PAC ID
9638495724
Professional Enrollment ID
I20260114000467
Address ID
FL329407948VI7000XCTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for JENNIFER TAYLOR

  • 3218 LEGACY DR

    MIMS, FL 327543022

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260114000467IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32754)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638495724View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I use this page to confirm JENNIFER TAYLOR's NPI?
Yes. JENNIFER TAYLOR is listed with NPI 1295110583 in the public NPI dataset.
Can I rely on JENNIFER TAYLOR being an active provider?
As of the registry snapshot, JENNIFER TAYLOR is marked active.
What taxonomy line describes JENNIFER TAYLOR?
For research purposes, treat JENNIFER TAYLOR as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JENNIFER TAYLOR on a map?
Expect Mims, Florida as a primary anchor for JENNIFER TAYLOR unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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