Teeko, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TEEKO, LLC

Practice address

20973 Corkscrew Shores Blvd
Estero, FL 33928-9146

Phone

(630) 687-0574

Fax

(239) 320-3231

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Tyler Emerson Melelcker, PTA

Title

Ceo

Phone

(630) 687-0574

Specialties & licenses 1

Addresses

Other names 1

• TEEKO,LLC Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Emerson Mellecker, PTA

  • Physical Therapy Assistant
  • Estero, FL
  • NPI 1760280481
  Medicare reassignment NPD

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1710772132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20973 CORKSCREW SHORES BLVD",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289146",
            "telephone_number": "630-687-0574",
            "fax_number": "239-320-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20973 CORKSCREW SHORES BLVD",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289146",
            "telephone_number": "630-687-0574",
            "fax_number": "239-320-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEKO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "MELELCKER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "EMERSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-687-0574",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEEKO,LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Carissa Leigh Tartaglia, ARNP
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• Physical Therapy Clinic/Center in Estero, FL
• Providers in Estero, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.