Kelsie Teet

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3854 Issued in TN

Practice address

176 W University Pkwy Ste E-F
Jackson, TN 38305-1618

Phone

(731) 300-4950

NPI assigned

Mar 22, 2023

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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

• Patterson Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
  • NPI 1770928533
  NPD

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1972205888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CENTER RIDGE RD",
            "city": "BETHEL SPRINGS",
            "state": "TN",
            "postal_code": "383154053",
            "telephone_number": "731-434-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 W UNIVERSITY PKWY STE E-F",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051618",
            "telephone_number": "731-300-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEET",
        "first_name": "KELSIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "3854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Teague, MD
• Kimberly Lynn Tedford, RN
• Paula Denise Tedin-Moschovas, DNP, ACNP-BC
• Carl Jerome Teel III, DDS
• William P Teer, M.D.
• Aamir Telia, MD
• Tennessee Anesthesia Network Services LLC
• Tennessee Community Services Agency
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #02386)
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #16345)

• Occupational Therapy Assistant in Jackson, TN
• Providers in Jackson, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.