Patricia Gayle Wohlgemuth, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

00933 Issued in IA

Practice address

9645 Big Bend Blvd
Saint Louis, MO 63122-6521

Phone

(314) 968-5460

NPI assigned

Jun 8, 2006

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Patricia Gayle Hedrick 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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1235179847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16325 JUSTUS POST RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174607",
            "telephone_number": "319-321-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226521",
            "telephone_number": "314-968-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLGEMUTH",
        "first_name": "PATRICIA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2020042536",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "00933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "HEDRICK",
            "middle_name": "GAYLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Max Douglas Woerfel, PHARMD
• Christine M Woerther, P.T.
• Rachael Cherie Beach Woerther, ED.S.
• Woezor Home LLC
• Jennifer Irene Wofford, PNP
• Holly Wohltman
• Theresa H Wojak, M.S.W., L.C.S.W.
• Brandon Michael Wojcik, MD
• Janusz Wolaniuk, M.D.
• Ann Marie Wolber, C-AA

• Physical Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.