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

Taylor Back, DPT

Individual provider Physical Therapist · NPI 1063151298

Taylor Back, DPT is a Physical Therapist in Private Practice in Clarksville, Tennessee. Qualified in 2022, 4 years ago. Practices with Premier Rehab Management LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Tennessee.

Years since qualifying
4
Licensed in
FL, TN
In the registry since
2022
Specialties on file
2
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

970 Tiny Town Rd Ste J
Clarksville, TN 37042-9028
Phone: (931) 919-1670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 249 Mack Bayou Loop, Santa Rosa Beach, FL 32459-7198 — (850) 622-0842

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17290 (TN)
Physical Therapist Taxonomy 225100000X · Licence 38786 (FL)

Record details

NPI number1063151298
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 4, 2022
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Premier Rehab Management Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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