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

Taylor Mayberry

Individual provider Physical Therapist · NPI 1407539604

Taylor Mayberry is a Physical Therapist in Private Practice in North Charleston, South Carolina. Qualified in 2023, 3 years ago. Practices with Grazen Corporation, a 2-clinician group and works from 2 locations.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

9241 University Blvd Ste A
North Charleston, SC 29406-9349
Phone: (843) 764-4887
Fax: (843) 764-4509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5272 7th Green Dr, Hollywood, SC 29449-5976 — (502) 442-3087

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1407539604
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Grazen Corporation — 2 clinicians
Accepts Medicare assignment Not indicated

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