Individual provider Active NPI

William M Vittone, PTA

  • Physical Therapy Assistant
  • Ashland, WI
National Provider Identifier
1013179803
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502006380 Issued in MI
Practice address
911 3Rd St W
Ashland, WI 54806-1311
Phone
(715) 682-8172
Fax
(715) 682-6662
NPI assigned
Jul 2, 2008
Reactivated
Feb 11, 2022
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2007-19 WI
Physical Therapy Assistant 225200000X PTA0000003525 TN
Physical Therapy Assistant 225200000X 5502006380 MI Primary

Addresses

Primary practice location

911 3Rd St W
Ashland, WI 54806-1311

Mailing address

3105 Alabaster Dr Apt G-6
Shelby Township, MI 48317-2595
Phone (865) 230-2817

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wvittone764839@direct.hfhs.org Henry Ford Health System

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

State licenses

LicenseStateTypeSpecialty
5502006380MIMDPhysical Therapy Assistant
PTA0000003525TNMDPhysical Therapy Assistant
2007-19WIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1013179803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 ALABASTER DR APT G-6",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483172595",
            "telephone_number": "865-230-2817",
            "fax_number": "715-682-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 3RD ST W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061311",
            "telephone_number": "715-682-8172",
            "fax_number": "715-682-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITTONE",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "deactivation_date": "2022-01-17",
        "reactivation_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2007-19",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000003525",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502006380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wvittone764839@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Health System",
            "address_1": "159 Kercheval Ave",
            "city": "Grosse Pointe Farms",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482363610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.