Daniel Tellijohn, CP

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CP003277 Issued in WI

Practice address

1700 Stewart Ave Ste 300
Wausau, WI 54401-5345

Phone

(715) 679-3776

Fax

(715) 841-0087

NPI assigned

Nov 12, 2025

Last updated

Nov 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Forge Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Wausau, WI
  • NPI 1457158537
  NPD

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1407716533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 STEWART AVE STE 300",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015345",
            "telephone_number": "715-679-3776",
            "fax_number": "715-841-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 STEWART AVE STE 300",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015345",
            "telephone_number": "715-679-3776",
            "fax_number": "715-841-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLIJOHN",
        "first_name": "DANIEL",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WI",
            "license": "CP003277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George R Tanner, MD
• Carla Tautges, LPN
• Chad B Taylor, LPC
• Gregg W Taylor, MD
• Teleoptometric Service, P.C.
• Tender Home Care LLC
• Justin Bernard Teresinski
• Kyla Paige Teresinski, APNP
• Terrace Court Senior Living, Inc. (Mountain Terrace Senior Living CBRF)
• Emma Terwilliger

• Prosthetist in Wausau, WI
• Providers in Wausau, WI by specialty
• Prosthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.