Individual provider Active NPI

Teneshia Aragon, D.P.T.

  • Physical Therapist
  • Mobile, AL
National Provider Identifier
1114248457
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07771 Issued in LA
Practice address
316 S Sage Ave
Mobile, AL 36606-3616
Phone
(251) 470-7772
Fax
(251) 470-7772
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 07771 LA Primary

Addresses

Primary practice location

316 S Sage Ave
Mobile, AL 36606-3616

Mailing address

316 S Sage Ave
Mobile, AL 36606-3616
Phone (251) 470-7772

Other names 1

  • Teneshia Jackson Former name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
07771LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea City Physical Therapy CurrentSince Oct 1, 2012 Accepting new patients
Azalea City Hand & Rehab, Inc. Physical Therapist Past Accepting new patients
Joy Rehab Corp Physical Therapist Past Accepting new patients
Lewy Physical Therapy Inc Physical Therapist PastSince Oct 1, 2001 Accepting new patients

Locations

316 S Sage Ave
#C
Mobile, AL 36606
Phone (251) 470-7772

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1114248457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S SAGE AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063616",
            "telephone_number": "251-470-7772",
            "fax_number": "251-470-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S SAGE AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063616",
            "telephone_number": "251-470-7772",
            "fax_number": "251-470-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGON",
        "first_name": "TENESHIA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TENESHIA",
            "last_name": "JACKSON",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.