Paul William Teagle, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

678PT Issued in MT

Practice address

4718 23Rd Ave
Suite 500
Missoula, MT 59803-1163

Phone

(406) 626-0400

Fax

(406) 626-0401

NPI assigned

May 3, 2007

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821200965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15431 SAVIK LN",
            "city": "FRENCHTOWN",
            "state": "MT",
            "postal_code": "598349580",
            "telephone_number": "406-626-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 23RD AVE",
            "address_2": "SUITE 500",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031163",
            "telephone_number": "406-626-0400",
            "fax_number": "406-626-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGLE",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "678PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Taylor
• Susan Hunter Taylor, RDH
• Tana M Taylor, CRNA
• Thomas Raymond Taylor
• Trent Taylor, MD
• Andrew R. Tegeder, MD
• Jessica Jewel Maxine Telleria, M.D.
• Terri L Kinnee DDS PLLC
• Debra C Terry, LCSW
• Jamie Lynn Terry, DPT

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.