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

Taylor Marie Dettmann, DPT, PT

Individual provider Physical Therapist · NPI 1710361357

Taylor Marie Dettmann, DPT, PT is a Physical Therapist in Private Practice in Brentwood, Missouri. Qualified in 2015, 11 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Colorado and Missouri.

Years since qualifying
11
Licensed in
CO, MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2937 S Brentwood Blvd
Brentwood, MO 63144-2713
Phone: (314) 961-3804
Fax: (314) 961-1147
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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 2015023911 (MO)
Physical Therapist Taxonomy 225100000X · Licence PTL.0013304 (CO)

Record details

NPI number1710361357
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedJuly 14, 2015
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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