Individual provider Active NPI

Teresa Lee Penfield

  • Mechanotherapist
  • Arlington, TX
National Provider Identifier
1306083449
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
001202 Issued in TX
Practice address
1703 Peyco Dr N Ste I
Arlington, TX 76001-6701
Phone
(817) 233-0782
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 001202 TX Primary

Addresses

Primary practice location

1703 Peyco Dr N Ste I
Arlington, TX 76001-6701

Mailing address

1703 Peyco Dr N Ste I
Arlington, TX 76001-6701
Phone (817) 233-0782

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
001202TXMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1306083449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 PEYCO DR N STE I",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760016701",
            "telephone_number": "817-233-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 PEYCO DR N STE I",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760016701",
            "telephone_number": "817-233-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENFIELD",
        "first_name": "TERESA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "TX",
            "license": "001202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.