Adria Goppelt Tenisson, PT, MPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT22190 Issued in CA

Practice address

3525 Loma Vista Rd Ste C
Ventura, CA 93003-3165

Phone

(805) 652-6955

Fax

(805) 652-6959

NPI assigned

Jun 16, 2010

Last updated

Dec 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

College of Osteo Med of the Pacific at Pomona, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Physical Therapy and Associates IncGroup PAC ID 4486962867, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

73.77 of 100Reported as group

Quality

31.85

Promoting interoperability

98

Improvement activities

40

Cost

82.39

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.

• Premier Physical Therapy & Associates Inc

  • Physical Therapist
  • Moorpark, CA
  • NPI 1902208507
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1528389269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 RALSTON ST STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037844",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 LOMA VISTA RD STE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033165",
            "telephone_number": "805-652-6955",
            "fax_number": "805-652-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENISSON",
        "first_name": "ADRIA",
        "middle_name": "GOPPELT",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22190",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT22190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT22190",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://venturaortho.com/",
            "affiliation": "N",
            "address_1": "3525 Loma Vista Rd Ste C",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930033165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Solomon Teckle, M.D.
• Telecare Corporation (Telecare Vista)
• Telecare Vista Voice
• Victor Angel Tellez
• Daniel B Tello
• Francelia Teran de Rodriguez, LMFT
• Teresa M Monzon DDS Inc
• Andria B Terrazas, NP
• Victoria Michelle Terrill, LCSW
• Terry L. Cole, M.D. a Professional Corp

• Orthopedic Physical Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.