Individual provider Active NPI

Emily Teneyck, DPT

  • Physical Medicine & Rehabilitation Physician
  • Ogdensburg, NY
National Provider Identifier
1639658230
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
043292 Issued in NY
Practice address
203 State St Ste 1
Ogdensburg, NY 13669-1465
Phone
(315) 393-2024
Fax
(315) 393-2025
NPI assigned
Aug 14, 2018
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 043292 NY Primary

Addresses

Primary practice location

203 State St Ste 1
Ogdensburg, NY 13669-1465

Mailing address

203 State St Ste 1
Ogdensburg, NY 13669-1465
Phone (315) 393-2024

Other practice location 1

26908 Independence Way Ste 201
Evans Mills, NY 13637-3300
Phone (315) 629-6255

Other practice location 2

307 Riverside Dr
Clayton, NY 13624-1022
Phone (315) 686-1757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005001588 NY Practitioner - Physical Therapist in Private Practice 2567714389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Physical Therapy LLCGroup PAC ID 5092793398, 2 clinicians
Emily Teneyck PT DPT PLLCGroup PAC ID 2466892153, 4 clinicians

Practice addresses (Care Compare)

203 State St
Ogdensburg, NY 13669-1425
Phone (315) 393-2024

203 State St
Suite 2
Ogdensburg, NY 13669-1424
Phone (315) 323-0838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Physical Therapy, LLC CurrentSince Sep 21, 2018 Accepting new patients
Emily Teneyck PT DPT PLLC CurrentSince Mar 13, 2024 Accepting new patients
Northern Physical Therapy, PLLC PastSince Sep 21, 2018 Accepting new patients

Locations

307 Riverside Dr
Clayton, NY 13624
Phone (315) 285-5159

26908 Independence Way
Evans Mills, NY 13637
Phone (315) 629-4525

26908 Independence Way
Ste 201
Evans Mills, NY 13637
Phone (315) 629-6255

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

203 State St
Ste 1
Ogdensburg, NY 13669
Phone (315) 393-2024

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1639658230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 STATE ST STE 1",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691465",
            "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 1",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691465",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26908 Independence Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Evans Mills",
            "state": "NY",
            "postal_code": "136373300",
            "country_code": "US",
            "telephone_number": "315-629-6255",
            "fax_number": "315-629-6254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NY",
            "postal_code": "136241022",
            "country_code": "US",
            "telephone_number": "315-686-1757",
            "fax_number": "315-686-1758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENEYCK",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "043292",
            "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 Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.