Keith Wentz

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

207 W 3Rd St
Tonganoxie, KS 66086-9763

Phone

(913) 680-7754

NPI assigned

Oct 28, 2013

Last updated

Oct 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Keith Wentz-Hall Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1043648124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W 3RD ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869763",
            "telephone_number": "913-680-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 3RD ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869763",
            "telephone_number": "913-680-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEITH",
            "last_name": "WENTZ-HALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Unified School District No. 464
• Vintage Park at Tonganoxie, LLC
• Katelyn Marie Volk, O.D.
• William B Weatherford, MD
• Nicole Wence
• Ryan David West, DPT
• Laura D White
• Bryan Williams
• Win Chiropractic & Sports Therapy LLC
• Alex Gerald Winkler, MD

• Physical Therapy Assistant in Tonganoxie, KS
• Providers in Tonganoxie, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.