Active NPI
Judy Teitelman, PT
- Physical Therapist
- Newton, MA
National Provider Identifier
1629200373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6644
- Practice address
- 180 Wells Ave
302A
Newton, MA 02459-3328 - Phone
- (617) 332-5105
- NPI assigned
- Aug 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6644 | MA | Primary |
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 6644 | MA | |
| Geriatric Physical Therapist | 2251G0304X | 6644 | MA | |
| Neurology Physical Therapist | 2251N0400X | 6644 | MA | |
| Sports Physical Therapist | 2251S0007X | 6644 | MA | |
| Orthopedic Physical Therapist | 2251X0800X | 6644 | MA |
Addresses
Primary practice location
180 Wells Ave
302A
Newton, MA 02459-3328
Mailing address
180 Wells Ave
302A
Newton, MA 02459-3328
Phone (617) 332-5105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6644 | MA | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1629200373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 WELLS AVE",
"address_2": "302A",
"city": "NEWTON",
"state": "MA",
"postal_code": "024593328",
"telephone_number": "617-332-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 WELLS AVE",
"address_2": "302A",
"city": "NEWTON",
"state": "MA",
"postal_code": "024593328",
"telephone_number": "617-332-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEITELMAN",
"first_name": "JUDY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-13",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "6644",
"primary": true
},
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "MA",
"license": "6644",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MA",
"license": "6644",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "MA",
"license": "6644",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MA",
"license": "6644",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "6644",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.