Capp Wyatt Wormley IV, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36424 Issued in CA

Practice address

5 Harris CT
Building T, Suite 102
Monterey, CA 93940-5750

Phone

(831) 372-3579

Fax

(831) 372-3779

NPI assigned

Jan 21, 2010

Last updated

Jan 21, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Terrapin Physical Therapy

  dba Ripple Physical Therapy

  • Physical Therapist
  • Monterey, CA
  • NPI 1306033170
  NPD (past)
• Terrapin Physical Therapy Inc PC

  • Physical Therapist
  • Monterey, CA
  • NPI 1437215654
  NPD (past)

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1184955726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222342",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939222342",
            "telephone_number": "831-372-3579",
            "fax_number": "831-372-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT",
            "address_2": "BUILDING T, SUITE 102",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-372-3579",
            "fax_number": "831-372-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORMLEY",
        "first_name": "CAPP",
        "middle_name": "WYATT",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "36424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Wong, MD
• Ryan Yee Wong, D.C.
• Yuriko Ino Wong, MS OTRL CHT
• Aaron Wood
• Heather Lea Woods, MT-BC
• Alexandra Ann Wozniak
• Brianna Michele Wright, RN, FNP
• Deborah Elizabeth Wright, PH.D.
• Lisa A Wyatt, M.S.
• Pamela Yamashita

• Physical Therapist in Monterey, CA
• Providers in Monterey, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.