Mary Beth Wayne, PT CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8274 Issued in NY

Practice address

555 Market St
St Josephs Hospital Hand Management Center
Elmira, NY 14902

Phone

(607) 737-7818

Fax

(607) 737-1510

NPI assigned

Feb 9, 2007

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

Other names 1

• Mary Beth Willis Former name

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417098849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CENTER ST",
            "city": "HORSELEADS",
            "state": "NY",
            "postal_code": "14845",
            "telephone_number": "607-796-6520",
            "fax_number": "607-737-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MARKET ST",
            "address_2": "ST JOSEPHS HOSPITAL HAND MANAGEMENT CENTER",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14902",
            "telephone_number": "607-737-7818",
            "fax_number": "607-737-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "MARY BETH",
        "credential": "PT CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "8274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY BETH",
            "last_name": "WILLIS",
            "credential": "PT CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sarah Elizabeth Watson, MS, OTR/L, ATC/L
• Dawn E Weatherly
• Cynthia A Weaver, PHD
• Lindsey Weaver
• David A Webb, MD
• Jeremy Webb, MD

• Physical Therapist in Elmira, NY
• Providers in Elmira, NY by specialty
• Physical Therapist in New York

• 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.