Active NPI
Anita Denise Witt, MAE, PLE, DI
- Developmental Therapist
- Glasgow, KY
National Provider Identifier
1003990508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 117 Wingate Ave
Glasgow, KY 42141-2257 - Phone
- (270) 361-2718
- Fax
- (270) 361-2718
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | KY | ||
| Developmental Therapist | 222Q00000X | KY | Primary |
Addresses
Primary practice location
117 Wingate Ave
Glasgow, KY 42141-2257
Mailing address
117 Wingate Ave
Glasgow, KY 42141-2257
Phone (270) 361-2718
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1003990508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 WINGATE AVE",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421412257",
"telephone_number": "270-361-2718",
"fax_number": "270-361-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 WINGATE AVE",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421412257",
"telephone_number": "270-361-2718",
"fax_number": "270-361-2718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITT",
"first_name": "ANITA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "MAE, PLE, DI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.