TAYLOR MCCULLOCH (PT, DPT) – Physical Therapist, NPI 1770982357

TAYLOR MCCULLOCH (PT, DPT) is a healthcare provider. based in Odessa, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1247980 (TX). The NPI Number for TAYLOR MCCULLOCH (PT, DPT) is 1770982357

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR MCCULLOCH (PT, DPT)
NPI
1770982357
Phone
(432) 366-9541
Address
4407 N GRANDVIEW AVE
Enumeration Date
19 August 2014
Last Update Date
3 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067925522
Graduation Year
2014 (12 years ago)
PAC ID
0143548347
Group Practice PAC ID
2567447279
Professional Enrollment ID
I20150420001824
Address ID
TX794133808LU3838XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for TAYLOR MCCULLOCH (PT, DPT)

  • 4407 N GRANDVIEW AVE

    ODESSA, TX 797625311

    Phone: (432) 366-9541

    Fax: (432) 366-1951

    Type: Mailing

  • 4407 N Grandview Ave

    Odessa, TX 797625311

    Phone: (432) 366-9541

    Fax: (432) 366-1951

    Type: Location

  • 3838 50TH ST

    LUBBOCK, TX 79413

    Phone: (806) 792-5522

    Fax: (806) 785-7582

    Type: Location

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: 2015-04-20

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
I20150420001824IPhysical Therapist In Private PracticeTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes85860$0
97140Therapy procedure using manual technique, each 15 minutes34846$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care16033$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8915$0
97164Re-evaluation for physical therapy, typically 20 minutes5432$0
View full utilization report →

Insurance plans in this area (ZIP 79762)

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Provider's Procedures

TAYLOR MCCULLOCH (PT, DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYTX97001Physical therapy evaluation3433

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: 2567447279View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Is there an official ID for TAYLOR MCCULLOCH (PT, DPT) in U.S. healthcare records?
The official identifier for TAYLOR MCCULLOCH (PT, DPT) is NPI 1770982357.
Active or inactive — what applies to TAYLOR MCCULLOCH (PT, DPT)?
You should see TAYLOR MCCULLOCH (PT, DPT) as active in CMS-hosted NPPES data.
What area of care is associated with TAYLOR MCCULLOCH (PT, DPT)?
TAYLOR MCCULLOCH (PT, DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is TAYLOR MCCULLOCH (PT, DPT) associated with Odessa?
Public fields place TAYLOR MCCULLOCH (PT, DPT) around Odessa, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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