Michelle Dewilde, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1401502 Issued in KS

Practice address

3220 SW Albright Dr
Topeka, KS 66614-4707

Phone

(785) 478-9440

NPI assigned

Apr 24, 2007

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275752669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5652 31ST ST",
            "city": "GRANTVILLE",
            "state": "KS",
            "postal_code": "664299324",
            "telephone_number": "785-286-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 SW ALBRIGHT DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144707",
            "telephone_number": "785-478-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWILDE",
        "first_name": "MICHELLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1401502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Eugene Devader, M.D.
• Courtney B Devlin, CRNA
• Melody Devlin, APRN
• Casey Leigh Devore, D.D.S.
• Burt Deweese, PT
• Andrew William Dewitt, DNP, APRN, FNP-C
• Sumer K Dhir, M.D.
• Angela Di Iorio Evans
• Diabetes Care Clinic, Feet First and Wound Treatment
• Dialysis Specialists of Topeka, Inc.

• Physical Therapy Assistant in Topeka, KS
• Providers in Topeka, KS by specialty
• Physical Therapy Assistant in Kansas

• 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.