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DANIEL TELLIJOHN CP
NPI 1407716533
Prosthetist in Wausau, WI

Active since November 12, 2025PECOS Enrolled
1700 STEWART AVE STE 300, WAUSAU, WI 54401(715) 679-3776(715) 841-0087 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Tellijohn Cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL TELLIJOHN CP (NPI 1407716533) is an individual prosthetist provider in Wausau, Wisconsin, licensed in Wisconsin (CP003277) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407716533
Entity TypeIndividualMale
Primary Taxonomy224P00000X
Provider Legal NameDANIEL TELLIJOHNCredential: CP
Location Address1700 STEWART AVE STE 300Wausau, WI 54401-5345
Mailing Address1700 Stewart Ave Ste 300Wausau, WI 54401-5345 · (715) 679-3776 · Fax (715) 841-0087
Phone(715) 679-3776
Fax(715) 841-0087
Sole ProprietorNo
Enumeration DateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1407716533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in WI · CP003277
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
1700 STEWART AVE STE 300, Wausau, WI 54401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Tellijohn Cp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORGE PROSTHETICS, LLC
Prosthetic/Orthotic Supplier
1700 STEWART AVE STE 300
WAUSAU, WI 54401
Marathon County (831) 238-4509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Tellijohn's NPI number?

The NPI number for Daniel Tellijohn is 1407716533. It was assigned to this individual provider in the NPPES registry on November 12, 2025.

Where is Daniel Tellijohn located?

Daniel Tellijohn practices at 1700 Stewart Ave Ste 300, Wausau, WI 54401. The listed phone number is (715) 679-3776.

What is Daniel Tellijohn's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Is Daniel Tellijohn enrolled in Medicare?

Yes. Daniel Tellijohn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Tellijohn was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.