Individual provider Active NPI

Allelie Teodoro Austria, RPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1245569078
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030078 Issued in NY
Practice address
236 5TH Ave
4TH Floor
New York, NY 10001-7606
Phone
(347) 824-5028
NPI assigned
Dec 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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 030078 NY Primary

Addresses

Primary practice location

236 5TH Ave
4TH Floor
New York, NY 10001-7606

Mailing address

9812 Metropolitan Ave
Apt 2Ft, Forest Hills
Forest Hills, NY 11375-6628
Phone (347) 824-5028

Other names 1

  • Miss Allelie Digman Teodoro Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
030078NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1245569078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9812 METROPOLITAN AVE",
            "address_2": "APT 2FT, FOREST HILLS",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756628",
            "telephone_number": "347-824-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 5TH AVE",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017606",
            "telephone_number": "347-824-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTRIA",
        "first_name": "ALLELIE",
        "middle_name": "TEODORO",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLELIE",
            "last_name": "TEODORO",
            "middle_name": "DIGMAN",
            "prefix": "MISS",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.