Kevin Charles Teague, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT302279 Issued in CA

Practice address

6254 66TH Ave
Sacramento, CA 95823-2733

Phone

(916) 392-4440

NPI assigned

Mar 29, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Unh Physical Therapy Corp

  • Physical Therapist
  • Rocklin, CA
  • NPI 1902530785
  NPD

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1558065961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 10TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958140978",
            "telephone_number": "559-905-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6254 66TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232733",
            "telephone_number": "916-392-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "KEVIN",
        "middle_name": "CHARLES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Tamu Taylor
• Zachary D Taylor, M.D.
• Alianna Rose Tayyeb
• Marian E. Te Selle, MD
• Karen Renee Teague, RN
• William Teague, M.D.
• Stewart Edward Teal, M.D.
• Sara Teasdale, MD
• Alicia Maureen Teausant, DPM
• Michelle Tebbs

• Physical Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.