Individual provider Active NPI

Cynthia Marie Teske, P.T.

  • Orthopedic Physical Therapist
  • West Salem, WI
National Provider Identifier
1295987220
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3576-024 Issued in WI
Practice address
1540 Heritage Blvd
West Salem, WI 54669-1417
Phone
(608) 786-4989
Fax
(608) 786-2321
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 3576-024 WI
Orthopedic Physical Therapist 2251X0800X 3576-024 WI Primary

Addresses

Primary practice location

1540 Heritage Blvd
West Salem, WI 54669-1417

Mailing address

1540 Heritage Blvd
West Salem, WI 54669-1417
Phone (608) 786-4989

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3576-024WIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burkhardt Physical Therapy Center LLC PastSince Apr 2, 2001 Accepting new patients

Organizations & group practices 1

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1295987220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 HERITAGE BLVD",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691417",
            "telephone_number": "608-786-4989",
            "fax_number": "608-786-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HERITAGE BLVD",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691417",
            "telephone_number": "608-786-4989",
            "fax_number": "608-786-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESKE",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "WI",
            "license": "3576-024",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "3576-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.