Active NPI
Teresa Fus
- Physical Therapy Assistant
- Glen Head, NY
National Provider Identifier
1831557594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 10500
- Practice address
- 4 Elm PL
Glen Head, NY 11545-1552 - Phone
- (516) 428-7449
- NPI assigned
- Feb 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2101550 | TX | |
| Physical Therapy Assistant | 225200000X | 10500 | CA | Primary |
Addresses
Primary practice location
4 Elm PL
Glen Head, NY 11545-1552
Mailing address
4 Elm PL
Glen Head, NY 11545-1552
Phone (516) 428-7449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10500 | CA | MD | Acupuncturist |
| 2101550 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1831557594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ELM PL",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115451552",
"telephone_number": "516-428-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 ELM PL",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115451552",
"telephone_number": "516-428-7449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUS",
"first_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-09",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2101550",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "10500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Head, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.