Kim M Wysner, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

16201 Allen Rd
Southgate, MI 48195-7903

Phone

(734) 282-0000

NPI assigned

Mar 17, 2008

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

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1235300328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 ALLEN RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481957903",
            "telephone_number": "734-282-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSNER",
        "first_name": "KIM",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pambla Woodward
• Sherise Woolsey, LLPC
• Richard Wayne Wooten, M.A.
• Wyandotte Medical Practice
• Wyandotte Physician Practices
• Katelyn Marie Yaczik
• Petronio C Yadao, M.D.
• Ramalingeswara R. Yalamanchi, M.D.
• Alexandria Yanna
• Yassir Attalla PLLC

• Physical Therapy Assistant in Southgate, MI
• Providers in Southgate, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.