Individual provider Active NPI

Alex Teitelbaum, CPO

  • Prosthetist
  • Knoxville, TN
National Provider Identifier
1437027703
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
13276223 Issued in TN
Practice address
10241 Kingston Pike Ste 4
Knoxville, TN 37922-3240
Phone
(865) 672-6740
Fax
(865) 672-6741
NPI assigned
Oct 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 13276220 TN
Prosthetist 224P00000X 13276223 TN Primary

Addresses

Primary practice location

10241 Kingston Pike Ste 4
Knoxville, TN 37922-3240

Mailing address

10241 Kingston Pike Ste 4
Knoxville, TN 37922-3240
Phone (865) 672-6740

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
13276220TNMDOrthotist
13276223TNMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1437027703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10241 KINGSTON PIKE STE 4",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223240",
            "telephone_number": "865-672-6740",
            "fax_number": "865-672-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10241 KINGSTON PIKE STE 4",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223240",
            "telephone_number": "865-672-6740",
            "fax_number": "865-672-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEITELBAUM",
        "first_name": "ALEX",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TN",
            "license": "13276220",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": "13276223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.