Active NPI
Teasie Kahren Cleveland, DPT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1437933082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP024775T
- Practice address
- 2404 Potters Rd
Virginia Beach, VA 23454-4335 - Phone
- (757) 961-5888
- NPI assigned
- Aug 23, 2023
- Last updated
- Aug 23, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016786 | GA | |
| Physical Therapist | 225100000X | CP024775T | VA | Primary |
Addresses
Primary practice location
2404 Potters Rd
Virginia Beach, VA 23454-4335
Mailing address
6124 Edward St Apt 206
Norfolk, VA 23513-1647
Phone (229) 449-1253
Other practice location 1
1200 N Military Hwy
Norfolk, VA 23502-2227
Phone (757) 318-8653
Other practice location 2
4020 Bonney Rd Ste 105
Virginia Beach, VA 23452-1765
Phone (757) 318-0227
Other names 1
- Teasie Kahren Williams
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 |
|---|---|---|---|
| PT016786 | GA | MD | Physical Therapist |
| CP024775T | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1437933082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6124 EDWARD ST APT 206",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235131647",
"telephone_number": "229-449-1253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 POTTERS RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544335",
"telephone_number": "757-961-5888"
}
],
"practiceLocations": [
{
"address_1": "1200 N Military Hwy",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235022227",
"country_code": "US",
"telephone_number": "757-318-8653",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4020 Bonney Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234521765",
"country_code": "US",
"telephone_number": "757-318-0227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEVELAND",
"first_name": "TEASIE",
"middle_name": "KAHREN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016786",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "CP024775T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TEASIE",
"last_name": "WILLIAMS",
"middle_name": "KAHREN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.