Noel Tello, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA4118 Issued in MS

Practice address

590 Springridge Rd
Suite B
Clinton, MS 39056-5641

Phone

(601) 473-2317

Fax

(601) 473-2318

NPI assigned

Aug 5, 2015

Last updated

Aug 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• United Rehab Associates of Clinton, LLC

  • Physical Therapy Clinic/Center
  • Clinton, MS
  • NPI 1306246541
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1144606773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 SPRINGRIDGE RD",
            "address_2": "SUITE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565641",
            "telephone_number": "601-473-2317",
            "fax_number": "601-473-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 SPRINGRIDGE RD",
            "address_2": "SUITE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565641",
            "telephone_number": "601-473-2317",
            "fax_number": "601-473-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLO",
        "first_name": "NOEL",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA4118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheron D Tate, MSW
• Taylor Chiropractic, Inc.
• Elizabeth Taylor-Carter
• Angee Monique Taylor
• Virgil Roy Taylor, D.C.
• Bobbie Jean Terry
• The Center of Care LLC
• The Dental Solution
• The Family Dental Center of Clinton
• Therapeutic Harmony Counseling Services

• Physical Therapy Assistant in Clinton, MS
• Providers in Clinton, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.