Ted N Teberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4607024 Issued in WI

Practice address

204 South Pine Street
Burlington, WI 53105

Phone

(262) 767-9579

Fax

(262) 767-9610

NPI assigned

May 1, 2006

Last updated

Dec 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Burlington

  • Rehabilitation Clinic/Center
  • Burlington, WI
  • NPI 1881773463
  Medicare reassignment
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Pleasant Prairie

  • Rehabilitation Clinic/Center
  • Pleasant Prairie, WI
  • NPI 1104497015
  NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Hayward

  • Rehabilitation Clinic/Center
  • Hayward, WI
  • NPI 1902556012
  NPD
• PT Pros LLC

  • Physical Therapist
  • Kenosha, WI
  • NPI 1598133217
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1477511509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 52ND ST",
            "address_2": "SUITE 240",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403423",
            "telephone_number": "262-925-5004",
            "fax_number": "262-925-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SOUTH PINE STREET",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "53105",
            "telephone_number": "262-767-9579",
            "fax_number": "262-767-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBERG",
        "first_name": "TED",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4607024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40391100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Edward Subrod, SAC
• Amy E Swift-Johnson, M.D.
• Karen Swiggett
• Erin Marie Tauscher, M.S. OTR/L
• David L Taylor, MD
• The Bay at Burlington Health and Rehabilitation LLC (Burlington Health and Rehabilitation Center)
• The Pharmacy Station Inc
• Indermohan S Thethi, MD
• Caitria Thiele, LAC, MSOM
• Heather Nicole Thomas, APNP

• Physical Therapist in Burlington, WI
• Providers in Burlington, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.