Joseph David Wantz

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5298 Issued in MD

Practice address

6500 Riggs Rd
Hyattsville, MD 20783-3056

Phone

(301) 559-0300

NPI assigned

Jul 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1134747207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 CORNICHE CT",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211584449",
            "telephone_number": "410-207-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 RIGGS RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833056",
            "telephone_number": "301-559-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANTZ",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www12.pointclickcare.com/home/home.jsp",
            "affiliation": "N",
            "address_1": "6500 Riggs Rd",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207833056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www12.pointclickcare.com/home/home.jsp",
            "affiliation": "N",
            "address_1": "6500 Riggs Rd",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207833056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thierry Hermann Wambo
• Rose a Wanda Awasum
• Liliane Wandja Epse Wam
• Jeanne Eveline Wandjou
• Isaac Wangatia
• Heather Warnick, LPC
• Washington Hospital Center
• Donte Washington
• Marquance Latoya Watson
• Peter Wawrzusin, M.D.

• Physical Therapy Assistant in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.