Toni Wormold, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018611-1 Issued in NY

Practice address

74 Riverhead Rd
Westhampton Beach, NY 11978-1401

Phone

(631) 288-7767

Fax

(631) 288-7100

NPI assigned

Nov 9, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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 identifiers 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: toni.wormoldpt.p2@direct.shproviders.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southampton Hospital

  • Rehabilitation Hospital Unit
  • Westhampton Beach, NY
  • NPI 1962770602
  NPD (past)
• Southampton Hospital/Sports Rehab WH

  dba Sports Rehab WH

  • Physical Therapist
  • Westhampton Beach, NY
  • NPI 1346323813
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427128081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 RIVERHEAD RD",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781401",
            "telephone_number": "631-288-7767",
            "fax_number": "631-288-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 RIVERHEAD RD",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781401",
            "telephone_number": "631-288-7767",
            "fax_number": "631-288-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORMOLD",
        "first_name": "TONI",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018611-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2365871",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "QH5392",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "58418",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "32803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6698016",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00274406",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AZ00175",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U S FAMILY HEALTH",
            "identifier": "32803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "015752-A64",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "018611",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westhampton Medical & Rehabilitation PC
• Westhampton Nurse Practitioner in Family Health PC
• Westhampton War Memorial Ambulance Association, Inc
• Robyn Wider, LPN
• Teresita Winter, LMSW
• Perry K Yazzolino, DO
• Liana R Yoder-Hegde, D.O.
• Anita Marie Young, LCSW
• Lynda Yovino, LCSW-R
• Laura Elizabeth Zappia, LMSW

• Physical Therapist in Westhampton Beach, NY
• Providers in Westhampton Beach, 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 9, 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.