Active NPI
Teresa Marie McNeal, PTA
- Physical Therapy Assistant
- Denver, CO
National Provider Identifier
1053568410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT 343
- Practice address
- 6000 E Iliff Ave
Denver, CO 80222-5721 - Phone
- (303) 157-4216
- NPI assigned
- Aug 27, 2008
- Last updated
- Jan 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | AT 343 | CA | |
| Physical Therapy Assistant | 225200000X | AT 343 | CA | Primary |
Addresses
Primary practice location
6000 E Iliff Ave
Denver, CO 80222-5721
Mailing address
301 Ridings Ave
Molalla, OR 97038-9201
Phone (303) 619-4486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 343 | CA | MD | Nursing Facility/Intermediate Care Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1053568410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 RIDINGS AVE",
"city": "MOLALLA",
"state": "OR",
"postal_code": "970389201",
"telephone_number": "303-619-4486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 E ILIFF AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802225721",
"telephone_number": "303-157-4216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEAL",
"first_name": "TERESA",
"middle_name": "MARIE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "CA",
"license": "AT 343",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.