Active NPI
Aimee Cecile Wolcott, P.T.
- Physical Therapist
- Fort Myers, FL
National Provider Identifier
1295818904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19547
- Practice address
- 5031 Northampton Dr
Fort Myers, FL 33919-1918 - Phone
- (239) 415-0219
- Fax
- (239) 418-0176
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- 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 Therapist | 225100000X | PT19547 | FL | Primary |
Addresses
Primary practice location
5031 Northampton Dr
Fort Myers, FL 33919-1918
Mailing address
5031 Northampton Dr
Fort Myers, FL 33919-1918
Phone (239) 415-0219
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT19547 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295818904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5031 NORTHAMPTON DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339191918",
"telephone_number": "239-415-0219",
"fax_number": "239-418-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5031 NORTHAMPTON DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339191918",
"telephone_number": "239-415-0219",
"fax_number": "239-418-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLCOTT",
"first_name": "AIMEE",
"middle_name": "CECILE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- 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.