Mary Kathryn Wing, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

478 Issued in AZ

Practice address

1020 E Missouri Ave
Ste a
Phoenix, AZ 85014-2615

Phone

(602) 393-0520

Fax

(602) 393-0523

NPI assigned

Oct 31, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RWW Outpatient Rehab Services, LLCGroup PAC ID 8729333521, 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• RWW Outpatient Rehab Services, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1447744461

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1205912490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E MISSOURI AVE",
            "address_2": "STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142615",
            "telephone_number": "602-393-0520",
            "fax_number": "602-393-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E MISSOURI AVE",
            "address_2": "STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142615",
            "telephone_number": "602-393-0520",
            "fax_number": "602-393-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823684",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0461760",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Wayne Winfery Jr.
• Wing Neurological Rehab
• Wing Neurological Rehabilitation
• Wing Neurological Rehabilitation
• Shawn Wing Schmidt
• Tara Danielle Wingard, LPN
• Jessica Wingate
• Susan Wingert, O.T.
• Jena Wingett
• Jonathan Paul Wingfield, APRN, FNP-BC

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.