Brien Wolter

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7806 Issued in MA

Practice address

143 Longwater Dr
Norwell, MA 02061-1683

Phone

(781) 878-5200

NPI assigned

Sep 11, 2009

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

Other identifiers 1

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1154654929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 HIGH ST",
            "city": "CARVER",
            "state": "MA",
            "postal_code": "023301018",
            "telephone_number": "781-270-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LONGWATER DR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611683",
            "telephone_number": "781-878-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Burlington Woods",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018034532",
            "country_code": "US",
            "telephone_number": "781-270-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLTER",
        "first_name": "BRIEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "7806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7806",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Williams
• Jennifer Wilson
• Karen A. Wischmeyer, LICSW
• Heather E Wolbach, D.M.D.
• Jared Wolfe, BCBA, LABA
• Samantha Wong
• Wendy Wong
• Taehyeok Woo, DMD
• Marguerite Wood, M.S.W.
• Valerie Wootton-Woolley, LICSW MSW

• Physical Therapy Assistant in Norwell, MA
• Providers in Norwell, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.