Active NPI
Teague Willson Delmas, PT
- Orthopedic Physical Therapist
- Vestavia, AL
National Provider Identifier
1376082032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PTH7986
- Practice address
- 100 Centerview Dr
Vestavia, AL 35216-3747 - Phone
- (205) 824-0610
- NPI assigned
- Feb 14, 2017
- Last updated
- Feb 14, 2017
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PTH7986 | AL | Primary |
Addresses
Primary practice location
100 Centerview Dr
Vestavia, AL 35216-3747
Mailing address
100 Centerview Dr
Vestavia, AL 35216-3747
Phone (205) 824-0610
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 |
|---|---|---|---|
| PTH7986 | AL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1376082032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CENTERVIEW DR",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352163747",
"telephone_number": "205-824-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CENTERVIEW DR",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352163747",
"telephone_number": "205-824-0610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELMAS",
"first_name": "TEAGUE",
"middle_name": "WILLSON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AL",
"license": "PTH7986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.