Lisa Anne Wynkoop, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 3919 Issued in OH

Practice address

391 Clark Dr
Circleville, OH 43113-1561

Phone

(740) 474-6036

Fax

(740) 420-3342

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

No

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134334386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9729 MARCY RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109511",
            "telephone_number": "614-837-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 CLARK DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131561",
            "telephone_number": "740-474-6036",
            "fax_number": "740-420-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNKOOP",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA 3919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacklynn Wooten, CMS, QMHS
• Megan Worthman
• Kelly Woyce, CNP
• Alivia Wright
• Julia Wright
• Samantha Ann Yates, PHARMD
• Seth Allen Yates, DO
• Carolyn Rebecca Yost, D.O.
• Payton Young
• Sara Young, LPN

• Physical Therapy Assistant in Circleville, OH
• Providers in Circleville, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.