Meg Tedder, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

151 Southwest Dr
Jonesboro, AR 72401-5828

Phone

(870) 932-0090

Fax

(870) 930-9336

NPI assigned

Aug 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pelvic Floor and Core Physical Therapy of Jonesboro LLCGroup PAC ID 2860822103, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Pelvic Floor and Core Physical Therapy of Jonesboro LLC

  • Physical Therapist
  • Jonesboro, AR
  • NPI 1497374318
  Medicare reassignment Care Compare group NPD
• Leap Therapy Solutions, LLC

  • Occupational Therapist
  • Jonesboro, AR
  • NPI 1033561584
  NPD (past)

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1689348286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EMMA DR",
            "city": "BROOKLAND",
            "state": "AR",
            "postal_code": "724179100",
            "telephone_number": "870-919-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015828",
            "telephone_number": "870-932-0090",
            "fax_number": "870-930-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDDER",
        "first_name": "MEG",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TDS Psychiatric Services L.L.C.
• Mallory Teague, D.P.T
• Michael H. Teague, MSW, LADAC, LMSW,
• Barry Tedder, M.D.
• Jeffery Tedder
• Michael Tedder, M.D.
• William Tedjo, DO
• Jamie Temple
• Michael Zafra Tenchavez, OTR
• Catherine Hubbard Terrell, PH.D.

• Occupational Therapist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.