Jon Woltz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01407 Issued in IA

Practice address

112 2ND St NW
Waverly, IA 50677-2619

Phone

(319) 352-0102

Fax

(319) 352-0104

NPI assigned

Feb 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Woltz Physical Therapy PC

  • Physical Therapist
  • Waverly, IA
  • NPI 1760455166
  NPD (past) Authorized official

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1508837923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 2ND ST NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772619",
            "telephone_number": "319-352-0102",
            "fax_number": "319-352-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTZ",
        "first_name": "JON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA PHYSICAL THERAPY LICENSE",
            "identifier": "01407",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Kay Wolf, DDS
• Wolfe Clinic Eye Centers, LC
• Jonathan D Wolff, M.S.P.T.
• Samantha Jo Wolff, ARNP, PMHNP-BC
• Woltz Physical Therapy PC
• Jordyn Woodley
• Alyssa Marie Woods, ARNP, FNP-C
• Penelope Yoosook, OTR/L
• Alan P Young, DDS
• Jalisa Young

• Physical Therapist in Waverly, IA
• Providers in Waverly, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.