Active NPI
Gwendolyn Teves
- Physical Therapist
- Visalia, CA
National Provider Identifier
1184437444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36564
- Practice address
- 4907 W Flagstaff Ave
Visalia, CA 93291-8242 - Phone
- (860) 808-6349
- NPI assigned
- Jan 30, 2025
- Last updated
- Jan 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36564 | CA | Primary |
Addresses
Primary practice location
4907 W Flagstaff Ave
Visalia, CA 93291-8242
Mailing address
4907 W Flagstaff Ave
Visalia, CA 93291-8242
Phone (860) 808-6349
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36564 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1184437444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4907 W FLAGSTAFF AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918242",
"telephone_number": "860-808-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4907 W FLAGSTAFF AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918242",
"telephone_number": "860-808-6349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEVES",
"first_name": "GWENDOLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.