Active NPI
Dean Teitelbaum, PT, DPT
- Physical Therapist
- Simsbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1233630
- Practice address
- 730 Hopmeadow St
Rear
Simsbury, CT 06070-2225 - Phone
- (860) 408-9818
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1233630 | TX | Primary |
| Physical Therapist | 225100000X | 007319 | CT |
Addresses
Primary practice location
730 Hopmeadow St
Rear
Simsbury, CT 06070-2225
Mailing address
10223 Broadway St
Ste B
Pearland, TX 77584-7881
Phone (713) 436-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007319 | CT | MD | Clinical Social Worker |
| 007927 | KY | MD | Pharmacist |
| 1233630 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| L.B. Consulting | Past | Accepting new patients | |
| Michael Daley | Physical Therapist | Past | Accepting new patients |
| S.T.a.R. Therapy Clinic, Inc | Physical Therapist | Past | Accepting new patients |
| Orthopedic Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
814 Highway 36
Frenchburg, KY 40322
Phone (636) 393-0953
272 Kroger Ctr
Morehead, KY 40351
Phone (606) 393-0304
Organizations & group practices 6
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.
-
dba ApexNetwork Physical Therapy
- Physical Therapy Clinic/Center
- Frenchburg, KY
- NPI 1447795554
Physical Therapist
-
dba ApexNetwork Physical Therapy
- Physical Therapy Clinic/Center
- Centerton, AR
- NPI 1710732607
Physical Therapist
-
- Physical Therapist
- Southington, CT
- NPI 1699950014
-
- Specialist
- Fresno, CA
- NPI 1982819272
-
- Physical Therapist
- Fresno, CA
- NPI 1972514867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1619179488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10223 BROADWAY ST",
"address_2": "STE B",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847881",
"telephone_number": "713-436-3900",
"fax_number": "713-436-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 HOPMEADOW ST",
"address_2": "REAR",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060702225",
"telephone_number": "860-408-9818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEITELBAUM",
"first_name": "DEAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1233630",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007319",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simsbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.