Individual provider Active NPI

Wulf M. Thoma, PT

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1477541191
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01873F Issued in LA
Practice address
221 Rue Dejean
Suite 126
Lafayette, LA 70508-8502
Phone
(337) 233-0322
Fax
(337) 233-0225
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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 01873F LA Primary

Addresses

Primary practice location

221 Rue Dejean
Suite 126
Lafayette, LA 70508-8502

Mailing address

221 Rue Dejean
Suite 126
Lafayette, LA 70508-8502
Phone (337) 233-0322

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1477541191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 RUE DEJEAN",
            "address_2": "SUITE 126",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088502",
            "telephone_number": "337-233-0322",
            "fax_number": "337-233-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RUE DEJEAN",
            "address_2": "SUITE 126",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088502",
            "telephone_number": "337-233-0322",
            "fax_number": "337-233-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMA",
        "first_name": "WULF",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01873F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.