Michelle Mundy Teague, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1169937 Issued in TX

Practice address

1223 W McDermott Dr Ste 50
Allen, TX 75013

Phone

(972) 359-1288

Fax

(972) 359-9652

NPI assigned

Aug 23, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1003009929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 W MCDERMOTT DR STE 50",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136400",
            "telephone_number": "972-359-1288",
            "fax_number": "972-359-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 W MCDERMOTT DR STE 50",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "972-359-1288",
            "fax_number": "972-359-9652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 Church St",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760345849",
            "country_code": "US",
            "telephone_number": "817-498-3919",
            "fax_number": "817-498-7080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1109 Church St",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760345849",
            "country_code": "US",
            "telephone_number": "817-498-3919",
            "fax_number": "817-498-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "MICHELLE",
        "middle_name": "MUNDY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1169937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lea Taylor-Vickers, R.D.H.
• Kevin Taylor, DPT
• Rachel Jumper Taylor, PA-C
• Kaamila Tayob, RBT
• TC Allen Hospital LP
• Teca Ventures Limited Liability Company
• Tech Med Solutions LLC
• Tenet Healthcare
• Janet Marie Tetteh, FNP
• Texas General Surgery Center LLC

• Physical Therapist in Allen, TX
• Providers in Allen, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.