Individual provider Active NPI

Audrey Megan Teel-Stanton, PT

  • Mechanotherapist
  • Holly Springs, MS
National Provider Identifier
1407399454
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
PT3804 Issued in MS
Practice address
175 Whaley Dr Ste B&C
Holly Springs, MS 38635-3253
Phone
(662) 252-3780
NPI assigned
Nov 23, 2016
Last updated
Nov 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X PT3804 MS Primary

Addresses

Primary practice location

175 Whaley Dr Ste B&C
Holly Springs, MS 38635-3253

Mailing address

175 Whaley Dr Ste B&C
Holly Springs, MS 38635-3253
Phone (662) 252-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525002185 MS Practitioner - Physical Therapist in Private Practice 3375921794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

2714 W Oxford Loop
Suite 164
Oxford, MS 38655-5714
Phone (662) 232-8949

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD CurrentSince Jun 25, 2022 Accepting new patients
Athletico LTD CurrentSince Jun 25, 2022 Accepting new patients
Crossroads Rehabilitation Services, Inc Past Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

2714 West Oxford Loop
Ste 164
Oxford, MS 38655
Phone (662) 232-8949

105B Quality Ln
Senatobia, MS 38668
Phone (662) 562-9977

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1407399454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WHALEY DR STE B&C",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353253",
            "telephone_number": "662-252-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WHALEY DR STE B&C",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353253",
            "telephone_number": "662-252-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEL-STANTON",
        "first_name": "AUDREY",
        "middle_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MS",
            "license": "PT3804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.