Organization Active NPI

Emily Teneyck PT DPT PLLC

  • Physical Therapist
  • Ogdensburg, NY
National Provider Identifier
1609640796
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EMILY TENEYCK PT DPT PLLC
Practice address
203 State St Ste 2
Ogdensburg, NY 13669-1424
Phone
(315) 393-2024
Fax
(315) 393-2025
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Emily Teneyck, PT,DPT,PLLCNPI 1639658230
Title
Owner
Phone
(315) 393-2024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

203 State St Ste 2
Ogdensburg, NY 13669-1424

Mailing address

203 State St Ste 2
Ogdensburg, NY 13669-1424
Phone (315) 393-2024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240429001075 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466892153 Receives reassigned benefits from 5 practitioners
Practice locations: Ogdensburg, NY

National Provider Directory

National Provider Directory

Locations

203 State St
Ste 2
Ogdensburg, NY 13669
Phone (315) 323-0838

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1609640796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 STATE ST STE 2",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691424",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 STATE ST STE 2",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691424",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY TENEYCK PT DPT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "TENEYCK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-393-2024",
        "authorized_official_credential": "PT,DPT,PLLC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.