Organization Active NPI

Agility Foot & Ankle Specialty Center LLC

  • Podiatrist
  • Celina, OH
National Provider Identifier
1346664281
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.003444 Issued in OH
Legal business name
AGILITY FOOT & ANKLE SPECIALTY CENTER LLC
Practice address
405 Myers Rd
Celina, OH 45822-1132
Phone
(567) 890-3668
Fax
(567) 890-3670
NPI assigned
Feb 12, 2014
Reactivated
Feb 22, 2017
Last updated
Feb 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Darby Wehrley, DPM
Title
President
Phone
(567) 890-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.003444 OH Primary

Addresses

Primary practice location

405 Myers Rd
Celina, OH 45822-1132

Mailing address

405 Myers Rd
Celina, OH 45822-1132
Phone (567) 890-3668

National Provider Directory

National Provider Directory

Locations

510 W Votaw St
Portland, IN 47371
Phone (260) 726-2890

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1346664281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MYERS RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221132",
            "telephone_number": "567-890-3668",
            "fax_number": "567-890-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MYERS RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221132",
            "telephone_number": "567-890-3668",
            "fax_number": "567-890-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILITY FOOT & ANKLE SPECIALTY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2017-02-22",
        "deactivation_date": "2016-12-20",
        "reactivation_date": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "WEHRLEY",
        "authorized_official_first_name": "DARBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "567-890-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.