Active NPI
Steven Teague
- Physical Therapist
- Willingboro, NJ
National Provider Identifier
1679683171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 220 Sunset Rd
Ste 5a
Willingboro, NJ 08046-1126 - Phone
- (609) 835-4801
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
220 Sunset Rd
Ste 5a
Willingboro, NJ 08046-1126
Mailing address
105 Winding LN
Cinnaminson, NJ 08077-2421
Phone (856) 786-4979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QB00103300 | Other | NJ | LICENSE # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1679683171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WINDING LN",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080772421",
"telephone_number": "856-786-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SUNSET RD",
"address_2": "STE 5A",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461126",
"telephone_number": "609-835-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAGUE",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "40QB00103300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willingboro, NJ
- Brian Duc Tang, PHARMD
- Amaris Xara Tangen, MSN, APRN, FNP-C
- Ben Tapper, DO
- Coker D Taylor III
- Doreen Ann Taylor, CNA
- Ashleigh Nichole Tepper, WHNP-BC
- The Arc of Burlington County, Inc.
- The Arc of Burlington County, Inc.
- The Arc of Burlington County, Inc.
- The Lester a. Drenk Behavioral Health Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.