Active NPI
Patricia A Wike, P.T.
- Physical Therapist
- Lee's Summit, MO
National Provider Identifier
1346472719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01613
- Practice address
- 716 NE Ashmont PL
Lees Summit, MO 64064-1661 - Phone
- (913) 484-7161
- NPI assigned
- Aug 18, 2009
- Last updated
- Aug 18, 2009
- 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 | 01613 | MO | Primary |
Addresses
Primary practice location
716 NE Ashmont PL
Lees Summit, MO 64064-1661
Mailing address
716 NE Ashmont Place
Lee Summt, MO 64064-1661
Phone (913) 484-7161
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 |
|---|---|---|---|
| 01613 | MO | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1346472719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 NE ASHMONT PLACE",
"city": "LEE SUMMT",
"state": "MO",
"postal_code": "640641661",
"telephone_number": "913-484-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 NE ASHMONT PL",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640641661",
"telephone_number": "913-484-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIKE",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "01613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.