Wingfield Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WINGFIELD PHYSICAL THERAPY, LLC

Practice address

1626 S Madison St
De Witt, AR 72042-3003

Phone

(870) 344-1642

NPI assigned

Oct 26, 2018

Last updated

Sep 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Kate Wingfield, PTNPI 1255549143

Title

Physical Therapy

Phone

(870) 344-1642

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Kate Wingfield, PT

  • Physical Therapist
  • De Witt, AR
  • NPI 1255549143
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1417424524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720420309",
            "telephone_number": "870-344-1642",
            "fax_number": "833-234-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 S MADISON ST",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720423003",
            "telephone_number": "870-344-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGFIELD PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "WINGFIELD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "870-344-1642",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Leigh Whitmore, PHARM.D.
• Mary Whitmore, SPEECH THERAPIST
• Wilson Therapy Services, Inc.
• Amy Carole Wilson, PTA
• Lori Ann Wilson, LPC
• Jennifer Kate Wingfield, PT

• Physical Therapy Clinic/Center in De Witt, AR
• Providers in De Witt, AR by specialty
• Physical Therapy Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.