Compass Therapeutics Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016349 Issued in PA

Legal business name

COMPASS THERAPEUTICS INC

Practice address

3332 Plank Rd
New Castle, PA 16105-1027

Phone

(724) 654-4457

Fax

(724) 654-2909

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Donald Edward Wilt, PTNPI 1457661357

Title

Ceo

Phone

(814) 330-4603

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Edward Wilt, PT

  • Physical Therapist
  • New Castle, PA
  • NPI 1457661357
  NPD (past) Authorized official
• Gabriella Lynn Wilt, MPT

  • Physical Therapist
  • New Castle, PA
  • NPI 1649788761
  NPD (past)

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1083924989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 PLANK RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051027",
            "telephone_number": "724-654-4457",
            "fax_number": "724-654-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 PLANK RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051027",
            "telephone_number": "724-654-4457",
            "fax_number": "724-654-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS THERAPEUTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "WILT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-330-4603",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016349",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Debra Conlee
• Farrah Taylor Connolly, OTR/L

• Physical Therapist in New Castle, PA
• Providers in New Castle, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.