TERESSA MARIE PETOSKY (NPI# 1144654344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144654344 |
| Entity Type | Individual |
| Full Name | TERESSA MARIE PETOSKY |
| Credential | PT, DPT, LMT |
| Practice Address |
57950 Leavenworth St Mcconnell Afb KS 67221-3506 |
| Mailing Address |
412 S Clear Creek St Clearwater KS 67026-8722 |
| Practice Telephone | 3167595071 |
| Mailing Telephone | 8035083114 |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT011187 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT023554 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | MT007855 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
57950 LEAVENWORTH ST |
| City | MCCONNELL AFB |
| State | KS |
| Zip Code | 67221-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194712828 | Everett J Deleon | Family Medicine | 57950 Leavenworth St, Attn Credentials Manager, Mcconnell Afb, KS 67221-3506 | 2005-09-27 |
| 1073151023 | Arlington Dale Lindskog | Physical Therapist | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2019-12-19 |
| 1083264550 | Brianna Hope Slayback | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2019-09-17 |
| 1538729132 | Matthew Alan Duggan | Physician Assistant | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2019-06-17 |
| 1295212413 | Walter Steven Agudelo | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-07-20 |
| 1215425657 | Jordon L Jeans | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-05-01 |
| 1144721150 | Daniel Belgam | Student in an Organized Health Care Education/Training Program | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-02-24 |
| 1568960342 | Justine R Froude | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-01-26 |
| 1578919049 | Kathryn Rachel Kocher | Pediatrics | 57950 Leavenworth St, Mcconnell Afb, KS 67221 | 2016-05-13 |
| 1265817878 | Rachel M Gurley | Social Worker | 57950 Leavenworth St, 22 Mdos/ Sgow, Mcconnell Afb, KS 67221-3506 | 2015-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922528421 | Rose Lee Samples | Nurse Practitioner | 51950 Leavenworth St., Family Health Clinic 22 Mdg, Mcconnell Afb, KS 67221 | 2017-06-26 |
| 1114247913 | Dawn Marie Clifton | Nurse Practitioner | 57950 Leavenworth Ave Bldg 250, 22d Medical Group, Mcconnell Afb, KS 67221 | 2010-06-03 |
| 1467514489 | 22nd Medical Group | Pharmacy | 57590 Leavenworth Bldg 250, Mcconnell Afb, KS 67221 | 2006-12-15 |
| 1336182153 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Derby Street, Building 352, Mcconnell Afb, KS 67221 | 2006-06-13 |
| 1962707067 | Melissa M Wendt | Physician Assistant | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221 | 2011-01-20 |
| 1922232271 | Richard Jimenez Rubi | Military Health Care Provider | 22 Mdg, Mcconnell Afb, KS 67221 | 2009-05-14 |
| 1871581306 | Joshua A Hartman | Emergency Medicine | 57950 Leavenworth St Bldg 248, Mcconnell Afb, KS 67221-3505 | 2005-10-10 |
| 1164052700 | Taylor Holloway | Family Medicine | 57950 Leavenworth St Bldg 250, Mcconnell Afb, KS 67221-3505 | 2020-01-23 |
| 1407296940 | Daniel Richard Galle | Optometrist | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221-3505 | 2013-06-28 |
| 1669969424 | Alesha Avis Heinz | Student in an Organized Health Care Education/Training Program | 57950 Leavenworth Street, Suite 4e1, Mcconnell Afb, KS 67221-3506 | 2018-04-17 |
| Find all providers in zip 67221 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053971325 | Slpt, LLC | Physical Therapist | 11040 Oakmont Street, Attn: Espt, Overland Park, KS 66210-1100 | 2019-06-18 |
| 1336669217 | Ethan Patrick Koochel | Physical Therapist | 935 E 4th St., Junction City, KS 66441 | 2017-06-22 |
| 1124557772 | David Shank | Physical Therapist | 1675 125th St, Redfield, KS 66769-9529 | 2017-06-07 |
| 1205370483 | Molly Morrison Britt | Physical Therapist | 10410 Mohawk Rd, Leawood, KS 66206-2596 | 2016-12-07 |
| 1306290119 | Joseph Seyforth | Physical Therapist | 22120 Midland Dr # 1, Shawnee, KS 66226-3554 | 2016-04-18 |
| 1548567399 | Hy Vong A Ha | Physical Therapist | 1931 S Market St, Wichita, KS 67211-4114 | 2011-02-14 |
| 1548585235 | Holly C Lang | Physical Therapist | 10730 Nall Ave Ste 204, Overland Park, KS 66211 | 2010-04-06 |
| 1134355340 | Daniel Edward Laughlin | Physical Therapist | 6501 W 101st Ter, 9506 Nall Avenue, Overland Park, KS 66212-1715 | 2009-06-02 |
| 1538310529 | Mark E Mcintosh | Physical Therapist | 5922 Barkley St, Mission, KS 66202-3269 | 2008-10-08 |
| 1801056429 | Rachel L Halpin | Physical Therapist | 6001 Sw 6th Ave Ste 230, Topeka, KS 66615-1004 | 2008-06-17 |
| Find all providers with the same taxonomy | ||||
| City | MCCONNELL AFB |
| Zip Code | 67221 |
Please comment or provide details below to improve the information on TERESSA MARIE PETOSKY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.