Active NPI
Todd A Telemeco, PHD
- Clinical Electrophysiology Physical Therapist
- Fayetteville, NC
National Provider Identifier
1467656744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Electrophysiology Physical Therapist
- License
- P14459
- Practice address
- 1601 Owen Dr
Fayetteville, NC 28304 - Phone
- (717) 977-6128
- NPI assigned
- Jun 12, 2007
- Last updated
- Jul 19, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT010832L | PA | |
| Clinical Electrophysiology Physical Therapist | 2251E1300X | P14459 | NC | Primary |
Addresses
Primary practice location
1601 Owen Dr
Fayetteville, NC 28304
Mailing address
2823 Farm Life School Rd
Carthage, NC 28327-6935
Phone (717) 597-7633
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P14459 | NC | MD | Clinical Electrophysiology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emg Services, LLC | Electrophysiology, Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Electrophysiology Physical Therapist
- Fayetteville, NC
- NPI 1669959193
Electrophysiology, Clinical
-
- Physical Therapy Clinic/Center
- Greencastle, PA
- NPI 1245461052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1467656744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2823 FARM LIFE SCHOOL RD",
"city": "CARTHAGE",
"state": "NC",
"postal_code": "283276935",
"telephone_number": "717-597-7633",
"fax_number": "717-597-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28304",
"telephone_number": "717-977-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELEMECO",
"first_name": "TODD",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT010832L",
"primary": false
},
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "NC",
"license": "P14459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.