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

Taylor Verissimo, PT

Individual provider Physical Therapist · NPI 1124871629

Taylor Verissimo, PT is a Physical Therapist in Imperial Beach, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
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

600 Palm Ave Ste 126
Imperial Beach, CA 91932-1246
Phone: (209) 552-1181
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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 305756 (CA)

Record details

NPI number1124871629
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESApril 8, 2024
Certification dateApril 6, 2024
Mailing address600 Palm Ave Ste 126, Imperial Beach, CA 91932-1246

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