Kenneth Worlanyo Wutoh, PT, DPT, CKPI

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9016 Issued in AZ

Practice address

520 Rose LN
Wickenburg, AZ 85390-1447

Phone

(928) 684-3604

NPI assigned

Nov 10, 2014

Sex

Male

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

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Luna Care Physical Therapy LLCGroup PAC ID 6103230172, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16872/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/wickenb-6847ac74

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

• Minnesota Luna Care Physical Therapy LLC

  • Physical Therapist
  • Saint Paul, MN
  • NPI 1780288134
  Medicare reassignment Care Compare group NPD
• Mores Therapeutics

  • Behavior Analyst
  • Minneapolis, MN
  • NPI 1487327854

  Physical Therapist

  NPD Authorized official
• Novacare Outpatient Rehabilitation East Inc

  • Physical Therapy Clinic/Center
  • Vadnais Heights, MN
  • NPI 1518963909

  Physical Therapist

  NPD
• Wickenburg Community Hospital

  • Rural Acute Care Hospital
  • El Mirage, AZ
  • NPI 1952704173
  NPD (past)

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1427454065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12023 W WINDROSE DR",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853354323",
            "telephone_number": "701-570-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ROSE LN",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901447",
            "telephone_number": "928-684-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUTOH",
        "first_name": "KENNETH",
        "middle_name": "WORLANYO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CKPI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wickenburg Home Care
• Wickenburg Hospital Pharmacy
• Wickenburg Unified School District #9
• Rachel Willis
• Cheryl Wolfe-Ruiz, P.A.-C
• Judy Rosittia Zobel, LAC

• Physical Therapist in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.