Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Taylor Hamilton Bushnell, DPT

Individual provider Physical Therapist · NPI 1558692566

Dr. Taylor Hamilton Bushnell, DPT is a Physical Therapist in Private Practice in Wildwood, Missouri. Qualified in 2009, 17 years ago. Practices with Bespoke Physical Therapy, Wellness and Performance, a 2-clinician group and accepts Medicare assignment. Licensed in Massachusetts, Missouri and Oregon.

Years since qualifying
17
Licensed in
MA, MO, OR
In the registry since
2010
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

17014 New College Ave
Wildwood, MO 63040-1177
Phone: (636) 500-7772
Fax: (844) 388-0538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2017031896 (MO)
Physical Therapist Taxonomy 225100000X · Licence 6339 (OR)
Physical Therapist Taxonomy 225100000X · Licence 18920 (MA)

Record details

NPI number1558692566
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJanuary 15, 2010
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Bespoke Physical Therapy, Wellness And Performance — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wildwood