Active NPI
Teri Essig, MPT
- Physical Therapist
- Ormond Beach, FL
National Provider Identifier
1134247349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.012587
- Practice address
- 16 Black Water Way
Ormond Beach, FL 32174-5706 - Phone
- (386) 673-9569
- NPI assigned
- Mar 26, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Physical Therapist | 225100000X | 070.012587 | FL | Primary |
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
16 Black Water Way
Ormond Beach, FL 32174-5706
Mailing address
16 Black Water Way
Ormond Beach, FL 32174-5706
Phone (386) 871-0428
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812177000 | Medicaid | FL | |
| 8918236 | Medicaid | FL |
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 |
|---|---|---|---|
| 070.012587 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy of Ormond, LLC | Early Intervention Provider Agency | Current | Accepting new patients |
| Pediatric Therapy of Ormond, LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Ormond Beach, FL
- NPI 1568646008
-
- Early Intervention Provider Agency
- Ormond Beach, FL
- NPI 1679227508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760140800000",
"number": "1134247349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BLACK WATER WAY",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745706",
"telephone_number": "386-871-0428",
"fax_number": "386-463-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 BLACK WATER WAY",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745706",
"telephone_number": "386-673-9569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSIG",
"first_name": "TERI",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2025-10-11",
"certification_date": "2025-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "070.012587",
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "812177000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8918236",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.