Active NPI
Laura Tenekjian
- Physical Therapist
- Eastham, MA
National Provider Identifier
1639612179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02883
- Practice address
- 43 Indian Way
Eastham, MA 02642-3227 - Phone
- (757) 373-8971
- NPI assigned
- Dec 1, 2016
- Last updated
- Dec 1, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT02883 | RI | Primary |
| Physical Therapist | 225100000X | 21357 | MA |
Addresses
Primary practice location
43 Indian Way
Eastham, MA 02642-3227
Mailing address
43 Indian Way
Eastham, MA 02642-3227
Phone (757) 373-8971
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 |
|---|---|---|---|
| 21357 | MA | MD | Pharmacist |
| PT02883 | RI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1639612179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 INDIAN WAY",
"city": "EASTHAM",
"state": "MA",
"postal_code": "026423227",
"telephone_number": "757-373-8971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 INDIAN WAY",
"city": "EASTHAM",
"state": "MA",
"postal_code": "026423227",
"telephone_number": "757-373-8971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENEKJIAN",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-01",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02883",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21357",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.