Pam Wingo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5171 Issued in TN

Practice address

6215 St Andrews Way
Hixson, TN 37343-3293

Phone

(423) 645-1843

NPI assigned

Nov 12, 2014

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

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": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1225434673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 ST ANDREWS WAY",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433293",
            "telephone_number": "423-645-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 ST ANDREWS WAY",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433293",
            "telephone_number": "423-645-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGO",
        "first_name": "PAM",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "5171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Gene Williams, ATC
• Brittany Craft Williams, NP
• Sam J Williams III, M.D.
• Alvin E Willingham, OD
• Sydney Wingfield, DDS
• Shannon Maureen Wingo, LCSW
• Lauryn Winslett, OT, MSOT
• Amanda Kristine Winters, D.O.
• Michael Kevin Wolfe, P.T.A.
• Wolff Chiropractic Center

• Physical Therapy Assistant in Hixson, TN
• Providers in Hixson, TN by specialty
• Physical Therapy Assistant in Tennessee

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

Verify at the official NPI Registry.