Anthony John Tesora, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605824 Issued in VA

Practice address

2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001

Phone

(910) 907-7925

NPI assigned

Apr 18, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1790530384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 HIDDEN LAKE LOOP APT 1142",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040393",
            "telephone_number": "703-589-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORA",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Dean Strong, LCSW, LCAS, CCS
• Lauren Von Almen Sturm, PA-C
• Bradley Summers-Johnson
• Lisa Currrence Tapscott, M.A. CCC-SLP
• Sameh Dawoud Tawadrous, DDS
• Laura Marie Thompson
• Tom Patrick Timothy, PA
• Daniel Lincoln Torchia, 18D
• Beth Colleen Trucksa, RN
• John Tuepker, D.O

• Physical Therapy Assistant in Fort Liberty, NC
• Providers in Fort Liberty, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.