Individual provider Active NPI

Dona Leigh Wonacott, PT

  • Physical Therapist
  • Baldwinsville, NY
National Provider Identifier
1518271618
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025964 Issued in NY
Practice address
8942 Center Pointe Dr
Baldwinsville, NY 13027-1431
Phone
(315) 303-4015
NPI assigned
Jul 30, 2010
Last updated
Oct 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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 025964 NY Primary

Addresses

Primary practice location

8942 Center Pointe Dr
Baldwinsville, NY 13027-1431

Mailing address

8942 Center Pointe Dr
Baldwinsville, NY 13027-1431
Phone (315) 303-4015

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
025964NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1518271618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8942 CENTER POINTE DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271431",
            "telephone_number": "315-303-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8942 CENTER POINTE DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271431",
            "telephone_number": "315-303-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONACOTT",
        "first_name": "DONA",
        "middle_name": "LEIGH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.