Amanda Teague, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1140853 Issued in TX

Practice address

523 County Road 336
Kirbyville, TX 75956-3666

Phone

(619) 985-1227

NPI assigned

Jul 19, 2006

Last updated

Dec 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Allee Therapy, LLC

  • Occupational Therapist
  • Jasper, TX
  • NPI 1194354548

  Physical Therapist

  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1437178407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 COUNTY ROAD 336",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759563666",
            "telephone_number": "619-985-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 COUNTY ROAD 336",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759563666",
            "telephone_number": "619-985-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "AMANDA",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 27680",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1140853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Vincent Sessions, D.D.S.
• Stephanie Lynne Shaeffer, FNP-C
• Jason Alan Shirley, LPC
• Tommy Kent Sims, PA-C
• Dale August Staggemeier Jr., MD
• Texas Total Care, Inc.
• Courtney D Webb
• Chad E Wiggins, PHARMD

• Physical Therapist in Kirbyville, TX
• Providers in Kirbyville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.