Active NPI
Teri Antosh, OTR
- Specialist
- Nanticoke, PA
National Provider Identifier
1447472238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OC00007132L
- Practice address
- 400 Middle Rd
Nanticoke, PA 18634-3821 - Phone
- (570) 788-7321
- Fax
- (570) 788-7267
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OC00007132L | PA | Primary |
Addresses
Primary practice location
400 Middle Rd
Nanticoke, PA 18634-3821
Mailing address
686 Main Rd
Hunlock Creek, PA 18621-3811
Phone (570) 542-7931
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC00007132L | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast PT Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Hazleton, PA
- NPI 1023010667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447472238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 MAIN RD",
"city": "HUNLOCK CREEK",
"state": "PA",
"postal_code": "186213811",
"telephone_number": "570-542-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MIDDLE RD",
"city": "NANTICOKE",
"state": "PA",
"postal_code": "186343821",
"telephone_number": "570-788-7321",
"fax_number": "570-788-7267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOSH",
"first_name": "TERI",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "OC00007132L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nanticoke, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.