Priscilla Anne Teague, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06874 Issued in LA

Practice address

2901 Ridgelake Dr Ste 209
Metairie, LA 70002-4934

Phone

(504) 309-0868

NPI assigned

Jan 12, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Flex Rehabilitation & Consulting, LLC

  • Physical Therapist
  • Metairie, LA
  • NPI 1144559451
  NPD (past)

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1902342033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 MASSACHUSETTS AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653815",
            "telephone_number": "504-305-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 RIDGELAKE DR STE 209",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024934",
            "telephone_number": "504-309-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "PRISCILLA",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA PHYSICAL THERAPY BOARD",
            "identifier": "06874",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Creole Taylor
• Ernest Taylor
• Latoshia Taylor
• Savanna Meredith Taylor
• William Buck Taylor III, M.D.
• Virginia Lee Teepell
• Benjamin C Tekippe, D.C.
• Carly Templet
• Ryan Templet
• India Paige Tenorio

• Physical Therapist in Metairie, LA
• Providers in Metairie, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.