Kirsten Swensen Tesdall

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2255 Dunn Ave Ste 207
Jacksonville, FL 32218-4739

Phone

(904) 757-9119

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1295804953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 EGRETS WALK",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038099",
            "telephone_number": "904-710-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 DUNN AVE STE 207",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184739",
            "telephone_number": "904-757-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESDALL",
        "first_name": "KIRSTEN",
        "middle_name": "SWENSEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "PT15496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvester Lee Terry Jr.
• Tameka Denise Terry, APRN
• William K Terry, D.C.
• Greg Terryn, RN-BSN
• Kara K Teruya, M.D.
• James Randall Tesh, APRN
• Debra Dudley Tester, DPT
• Victoria Tester, LMT
• Testing in Motion LLC
• Prabhu Dutt Tewari, MD

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.