Tricia Camille Willeford, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02398 Issued in IA

Practice address

3201 1St Street
Palo Alto County Hospital
Emmetsburg, IA 50536

Phone

(712) 852-5420

Fax

(712) 852-5524

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Tricia Camille Wallin Former name

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225252893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 450TH ST",
            "city": "LAURENS",
            "state": "IA",
            "postal_code": "505548727",
            "telephone_number": "712-845-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 1ST STREET",
            "address_2": "PALO ALTO COUNTY HOSPITAL",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "50536",
            "telephone_number": "712-852-5420",
            "fax_number": "712-852-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEFORD",
        "first_name": "TRICIA",
        "middle_name": "CAMILLE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "WALLIN",
            "middle_name": "CAMILLE",
            "prefix": "MRS.",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Parker Sue Traub, DC
• Frank E Veltri, MD
• Dean Albin Ver Mulm, OD
• Jodi Larea Ward
• Teresa M Wilkinson, LISW
• Tamara Susan Williams
• Heather Renee Wirtz, MPT
• Ashton Wooten
• Zimmerman Family Dental
• Kimberly Rae Zimmerman, D.D.S.

• Physical Therapist in Emmetsburg, IA
• Providers in Emmetsburg, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.