Active NPI
Alicia Teel
- Physical Medicine & Rehabilitation Physician
- Rocky Mount, NC
National Provider Identifier
1316593254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 8574
- Practice address
- 160 S Winstead Ave
Rocky Mount, NC 27804-3419 - Phone
- (252) 446-7666
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 8574 | NC | Primary |
Addresses
Primary practice location
160 S Winstead Ave
Rocky Mount, NC 27804-3419
Mailing address
3430 Sunset Ave Apt 157C
Rocky Mount, NC 27804-3543
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gcrockymount.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8574 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1316593254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 SUNSET AVE APT 157C",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S WINSTEAD AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043419",
"telephone_number": "252-446-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEEL",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "8574",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "gcrockymount.com",
"affiliation": "Y",
"endpointDescription": "Facility website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "160 S Winstead Ave",
"city": "Rocky Mount",
"state": "NC",
"country_code": "US",
"postal_code": "278043419",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.