Teja Booker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21229 Issued in NC

Practice address

2100 N Davidson St Ste C
Charlotte, NC 28205-1828

Phone

(980) 556-7780

NPI assigned

May 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1053058594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N DAVIDSON ST STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051828",
            "telephone_number": "980-556-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Crisanto Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297156272",
            "country_code": "US",
            "telephone_number": "037-464-6558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9325 Jw Clay Blvd Ste 224",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282625411",
            "country_code": "US",
            "telephone_number": "704-755-4278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "TEJA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11386",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "PT21229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Nicole Booi, RDN
• Terese Antoinette Bookard, LCSW
• Arlene Ann Booker
• Hannah Koob Booker, LCMHC
• Latonya Rhodes Booker, M.ED., CCC-SLP
• Tywan Booker
• Robert Glen Bookholt, DDS
• Gayle Denise Bookout
• Roxanna Books, LCAS-A, LCMHC-A
• Boondock Express

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.