Individual provider Active NPI

Wesley Edward Northey IV, PT, DPT

  • Physical Therapist
  • Rogers, AR
National Provider Identifier
1376043182
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4382 Issued in AR
Practice address
325 S 45TH St
Rogers, AR 72758-1632
Phone
(479) 899-8206
NPI assigned
Feb 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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 4382 AR Primary

Addresses

Primary practice location

325 S 45TH St
Rogers, AR 72758-1632

Mailing address

2817 W Green Acres Rd
Rogers, AR 72758-6133
Phone (479) 899-8206

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

LicenseStateTypeSpecialty
4382ARMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1376043182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 W GREEN ACRES RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727586133",
            "telephone_number": "479-899-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S 45TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581632",
            "telephone_number": "479-899-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHEY",
        "first_name": "WESLEY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.