Jacquelyn Tating Te, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24357 Issued in MD

Practice address

5009 Honeygo Center Dr Ste 209
Perry Hall, MD 21128-9842

Phone

(443) 725-2150

Fax

(443) 725-2155

NPI assigned

Jun 25, 2006

Last updated

Dec 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MD

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryland Sportscare & Rehab LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995
  Medicare reassignment NPD
• Maryland Sportscare & Rehab, LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1720445174
  NPD

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1700812070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORGE CROSSING CT",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211288833",
            "telephone_number": "646-541-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 HONEYGO CENTER DR STE 209",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289842",
            "telephone_number": "443-725-2150",
            "fax_number": "443-725-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TE",
        "first_name": "JACQUELYN",
        "middle_name": "TATING",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Lynn Spence, M.S., BCBA
• Olivia Spencer
• Stephen R. Feit, D.D.S. & Assoc., P.a. (Honeygo Village Dentistry)
• Shiere Stevens
• Sandra Surmacz
• Tina Teufer
• The Albrand Group
• The Great Atlantic and Pacific Tea Company Inc (Super Fresh Pharmacy)
• The Loving Angels Home Health Care, LLC.
• Donald Hayden Thomas, M AC., L AC.

• Physical Therapist in Perry Hall, MD
• Providers in Perry Hall, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.