Catherine M Wells, ATC, PTA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

102 N Seminary Ave
Mount Morris, IL 61054-1116

Phone

(815) 275-4508

NPI assigned

Mar 8, 2007

Last updated

Mar 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1215068325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N SEMINARY AVE",
            "city": "MOUNT MORRIS",
            "state": "IL",
            "postal_code": "610541116",
            "telephone_number": "815-275-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N SEMINARY AVE",
            "city": "MOUNT MORRIS",
            "state": "IL",
            "postal_code": "610541116",
            "telephone_number": "815-275-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "credential": "ATC, PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Morris Fire Protection District
• Mt Morris Pharmacy, Inc (Mt Morris Pharmacy)
• Brittany Ann Nelson
• Mary Saritha Raj, OTR
• S&P Counseling LLC
• Loyd J Wollstadt, M.D.
• Ronnie B Woods Jr., D.C.
• Tracy Lynn Woods, D.C.

• Athletic Trainer in Mount Morris, IL
• Providers in Mount Morris, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.