Individual provider Active NPI

Keith Wolsiefer, PT

  • Physical Therapist
  • Greenfield, NH
National Provider Identifier
1316026404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2867 Issued in NH
Practice address
1 Verney Dr
Greenfield, NH 03047-5000
Phone
(603) 547-3311
Fax
(603) 547-3232
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2867 NH Primary

Addresses

Primary practice location

1 Verney Dr
Greenfield, NH 03047-5000

Mailing address

1 Verney Dr
Greenfield, NH 03047-5000
Phone (603) 547-3311

Other identifiers 1

IdentifierTypeStateIssuer
30392880MedicaidNH

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316026404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VERNEY DR",
            "city": "GREENFIELD",
            "state": "NH",
            "postal_code": "030475000",
            "telephone_number": "603-547-3311",
            "fax_number": "603-547-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VERNEY DR",
            "city": "GREENFIELD",
            "state": "NH",
            "postal_code": "030475000",
            "telephone_number": "603-547-3311",
            "fax_number": "603-547-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLSIEFER",
        "first_name": "KEITH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30392880",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, NH

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.

Verify at the official NPI Registry.