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

Taryn Willard, PT

Individual provider Physical Therapist · NPI 1073096509

Taryn Willard, PT is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Advent Rehabilitation, LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

150 Jefferson Ave SE Ste 100
Grand Rapids, MI 49503-4306
Phone: (616) 284-3690
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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 5501019559 (MI)

Record details

NPI number1073096509
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 11, 2018
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Advent Rehabilitation, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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