Tessera Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TESSERA PHYSICAL THERAPY

Practice address

840 Meeting St Unit B1
West Columbia, SC 29169-7306

Phone

(803) 862-0042

Fax

(803) 862-0041

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Nicole Tessier, DPTNPI 1295145936

Title

Owner, Physical Therapist

Phone

(727) 831-1314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole R Tessier, DPT

  • Physical Therapist
  • Columbia, SC
  • NPI 1295145936
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1073371514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MEETING ST UNIT B1",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291697306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MEETING ST UNIT B1",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291697306",
            "telephone_number": "803-862-0042",
            "fax_number": "803-862-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSERA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "TESSIER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "727-831-1314",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.