Active NPI
Wendy Westfall, M.T.
- Mechanotherapist
- Canon City, CO
National Provider Identifier
1164830386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 2676
- Practice address
- 1216 Main St
Canon City, CO 81212-3506 - Phone
- (719) 275-0028
- NPI assigned
- Jul 31, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 2676 | CO | Primary |
Addresses
Primary practice location
1216 Main St
Canon City, CO 81212-3506
Mailing address
1216 Main St
Canon City, CO 81212-3506
Phone (719) 275-0028
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2676 | CO | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1164830386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 MAIN ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123506",
"telephone_number": "719-275-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 MAIN ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123506",
"telephone_number": "719-275-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTFALL",
"first_name": "WENDY",
"credential": "M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "CO",
"license": "2676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canon City, CO
- West Central Mental Health Center, Inc Solvista Health
- West Central Mental Health Center, Inc.
- West Central Mental Health Center, Inc.
- West Central Mental Health Center, Inc.
- Stephanie Westbrook
- Brytani Ladawn White, PA-C
- Paula Jean Whitehorn, REGISTERED NURSE
- Traci Whitley
- Loni Jean Williams
- Andree Wilson, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.