Active NPI
Arnot Q Wadsworth IV, P.T.
- Physical Therapist
- Palm Beach Gardens, FL
National Provider Identifier
1083964068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19680
- Practice address
- 3360 Burns Rd
Palm Beach Gardens, FL 33410-4323 - Phone
- (561) 776-7833
- NPI assigned
- Sep 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT19680 | FL | Primary |
Addresses
Primary practice location
3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Mailing address
6747 SW Live Oak LN
Stuart, FL 34997-7431
Phone (772) 215-3557
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT19680 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1083964068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6747 SW LIVE OAK LN",
"city": "STUART",
"state": "FL",
"postal_code": "349977431",
"telephone_number": "772-215-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3360 BURNS RD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104323",
"telephone_number": "561-776-7833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADSWORTH",
"first_name": "ARNOT",
"middle_name": "Q",
"name_suffix": "IV",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.