James R Wilkes Jr., ATC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

RT005744 Issued in PA

Practice address

1518 N Allen St
State College, PA 16803-3013

Phone

(215) 512-0017

NPI assigned

Jul 21, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1104201037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 N ALLEN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033013",
            "telephone_number": "215-512-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 N ALLEN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033013",
            "telephone_number": "215-512-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "RT005744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyama Dilani Wickramaaratchi, D.O.
• Joseph P Wiedemer, MD
• Lori Wieder, LAPC, M.ED., NCC
• Robert Marshall Wild Jr., M.D.
• Erica Wiley, PHD
• Ben Graham Williams, DMD
• Courtney Renee Williams
• John Donald Williams, PH.D.
• Kelsey Williams
• Shyanne Katherine Williams, PA-C

• Student in an Organized Health Care Education/Training Program in State College, PA
• Providers in State College, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.