Active NPI
Wade Josef Kepplinger, PTA
- Physical Therapy Assistant
- West Chester, OH
National Provider Identifier
1275359341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 03570
- Practice address
- 7222 Heritagespring Dr
West Chester, OH 45069-6589 - Phone
- (513) 777-4457
- NPI assigned
- Nov 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 03570 | KY | Primary |
Addresses
Primary practice location
7222 Heritagespring Dr
West Chester, OH 45069-6589
Mailing address
322 Deverill St
Ludlow, KY 41016-1329
Phone (661) 714-9260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03570 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1275359341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 DEVERILL ST",
"city": "LUDLOW",
"state": "KY",
"postal_code": "410161329",
"telephone_number": "661-714-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7222 HERITAGESPRING DR",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450696589",
"telephone_number": "513-777-4457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPPLINGER",
"first_name": "WADE",
"middle_name": "JOSEF",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-22",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "03570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.