Kelsey Teague

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2113297 Issued in TX

Practice address

4311 Andrews Hwy
Midland, TX 79703-4823

Phone

(432) 520-5600

NPI assigned

Sep 21, 2020

Last updated

Sep 21, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1477169993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 ANDREWS HWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034823",
            "telephone_number": "432-520-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 ANDREWS HWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034823",
            "telephone_number": "432-520-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2113297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Taylor
• Desiree E Taylor, LVN
• Kathleen M Taylor, NP
• Michael Anthony Taylor, PA-C
• Nora Elizabeth Taylor, M.ED. LPC
• Legesse F. Tebeje, M.D.
• Jennifer Tecson
• Rosa Tejeda
• Anastasia Telyatova
• Lakeisha D'Ann Templeton

• Physical Therapy Assistant in Midland, TX
• Providers in Midland, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.