Individual provider Active NPI

Daniel Lee Teece, DPT

  • Physical Therapist
  • Hudson, WI
National Provider Identifier
1225294291
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11061-24 Issued in WI
Practice address
110 1St St
Hudson, WI 54016-1503
Phone
(715) 227-5702
Fax
(715) 227-5703
NPI assigned
Jul 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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 11061-24 WI Primary

Addresses

Primary practice location

110 1St St
Hudson, WI 54016-1503

Mailing address

7581 9TH St N Ste 100
Oakdale, MN 55128-6635
Phone (651) 748-4338

Other practice location 1

2305 Willis Miller Drive
Hudson, WI 54016-7999
Phone (715) 386-1155

Other identifiers 4

IdentifierTypeStateIssuer
OU018TEOtherBCBS MN
B17211055892OtherPREFERRED ONE
P00636189OtherWIRR MEDICARE
64-09024OtherMEDICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000506 WI Practitioner - Physical Therapist in Private Practice 5294802237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Partners IncGroup PAC ID 4486552593, 135 clinicians

Practice addresses (Care Compare)

110 1St St
Hudson, WI 54016-1568
Phone (715) 227-5702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11061-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Partners Inc Physical Therapist CurrentSince Jul 29, 2020 Accepting new patients
Therapy Partners, Inc. Physical Therapist CurrentSince Jul 29, 2020 Accepting new patients
Therapy Partners, Inc. Physical Therapist Past Accepting new patients

Locations

7581 9th St N
Ste 100
Saint Paul, MN 55128

1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104

709 Rivard St
Somerset, WI 54025
Phone (651) 275-4706

Organizations & group practices 3

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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1225294291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7581 9TH ST N STE 100",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286635",
            "telephone_number": "651-748-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 1ST ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161503",
            "telephone_number": "715-227-5702",
            "fax_number": "715-227-5703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Willis Miller Drive",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167999",
            "country_code": "US",
            "telephone_number": "715-386-1155",
            "fax_number": "715-386-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEECE",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11061-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "OU018TE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "B17211055892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00636189",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "64-09024",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.