Marcy Anne Wolmutt

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1947-19

Practice address

718 Jupiter Dr
Madison, WI 53718-2950

Phone

(608) 663-8706

Fax

(608) 442-9926

NPI assigned

Feb 15, 2018

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

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1346740404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 JUPITER DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182950",
            "telephone_number": "608-663-8706",
            "fax_number": "608-442-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 JUPITER DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182950",
            "telephone_number": "608-663-8706",
            "fax_number": "608-442-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLMUTT",
        "first_name": "MARCY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": "1947-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K Wollaeger, MD
• Brittany Woller, PHARMD
• Michael Wollin, LCSW, SAC
• Jacob Wollinger
• Richard L Wolman, MD
• Elizabeth A Wolter, PA-C
• Emily Wolter
• Women'S International Pharmacy, Inc.
• Women'S Psychotherapy Centre of Wisconsin, LLC
• Womens Health America

• Physical Therapy Assistant in Madison, WI
• Providers in Madison, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.