Individual provider Active NPI

Katelynn Teufel

  • Physical Therapist
  • Aledo, TX
National Provider Identifier
1194574442
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1392243 Issued in TX
Practice address
709 N FM 1187 Ste 500
Aledo, TX 76008-4318
Phone
(817) 615-9214
NPI assigned
May 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 1392243 TX Primary

Addresses

Primary practice location

709 N FM 1187 Ste 500
Aledo, TX 76008-4318

Mailing address

3040 Fossil Creek Dr
Midlothian, TX 76065-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240610003080 TX Practitioner - Physical Therapist in Private Practice 9032651740 Reassigns benefits to 1 organization
I20260514002236 WA Practitioner - Physical Therapist in Private Practice 9032651740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians
Physiologic, LLCGroup PAC ID 5597152090, 10 clinicians

Practice addresses (Care Compare)

1707 3Rd St SE
Puyallup, WA 98372-4506
Phone (253) 841-3041

709 N FM
1187 Suite 500
Aledo, TX 76008-4338
Phone (682) 553-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiologic, LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients

Locations

709 N FM 1187
Ste 500
Aledo, TX 76008
Phone (682) 553-1913

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.

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1194574442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 FOSSIL CREEK DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760651920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N FM 1187 STE 500",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760084318",
            "telephone_number": "817-615-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUFEL",
        "first_name": "KATELYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1392243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aledo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.