Laura Tenekjian
Individual provider Active NPI Physical Therapist · Eastham, MA
NPI 1639612179 · NPPES record last updated Dec 1, 2016
Key facts
- NPI
- 1639612179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT02883 (RI)
- Practice address
- 43 Indian Way
Eastham, MA 02642-3227 - Phone
- (757) 373-8971
- NPI assigned
- Dec 1, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21357 | MA | MD | Pharmacist |
| PT02883 | RI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT02883 | RI | Yes |
| 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
Other providers in Eastham, MA
- Selah Health, LLC
- Susan R Shore
- Robert Stanley Smith
- Paula Sperry
- Billie Ann Starks
- Janet Uhlar-Tinney
- Donald E Watson
- Kathleen Whalen Weisblatt
All providers in Eastham, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.