NPI 1053207597 · live from the CMS NPI Registry
Taylor A Coleman
Physical Therapist in Glenarden, MD. National Provider Identifier 1053207597, active.
NPI record
| NPI | 1053207597 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 2830 Campus Way N Ste 616, Glenarden, MD 20706 |
| Practice phone | 301-798-7014 |
| Mailing address | 2122 York Rd Ste 300, Oak Brook, IL 60523 |
| Enumerated | June 12, 2025 |
| Last updated | August 24, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Physical Therapist primary | 225100000X | 30977 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.