Individual provider Active NPI

Teanna Wood

  • Physical Therapist
  • Carlisle, PA
National Provider Identifier
1235707811
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029521 Issued in PA
Practice address
1075 Harrisburg Pike Ste 104
Carlisle, PA 17013-1689
Phone
(717) 422-5838
Fax
(717) 462-6189
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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 029521 PA Primary

Addresses

Primary practice location

1075 Harrisburg Pike Ste 104
Carlisle, PA 17013-1689

Mailing address

700 Eden Rd
Lancaster, PA 17601-4700
Phone (717) 569-4184

Other practice location 1

527 E Market St
Danville, PA 17821-2009
Phone (570) 275-4715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502000319 PA Practitioner - Physical Therapist in Private Practice 1557758000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Physical Therapy LLCGroup PAC ID 0840649950, 7 clinicians

Practice addresses (Care Compare)

920 S Spruce St
Elizabethtown, PA 17022-2758
Phone (814) 404-7750

Merit-based Incentive Payment System (MIPS)

Final score
84.44 of 100Reported as group
Quality
80
Improvement activities
40
Cost
74.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029521PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Physical Therapy LLC Physical Therapist CurrentSince Jan 29, 2025 Accepting new patients
Lancaster Contact Lens Inc PastSince Feb 21, 2022 Accepting new patients

Locations

920 S Spruce St
Elizabethtown, PA 17022
Phone (717) 415-0313

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": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1235707811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014700",
            "telephone_number": "717-569-4184",
            "fax_number": "717-569-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 HARRISBURG PIKE STE 104",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131689",
            "telephone_number": "717-422-5838",
            "fax_number": "717-462-6189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 E Market St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178212009",
            "country_code": "US",
            "telephone_number": "570-275-4715",
            "fax_number": "570-275-4695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "TEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "029521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.