Individual provider Active NPI

Clifton N Wonsettler, DPT

  • Physical Therapist
  • Scenery Hill, PA
National Provider Identifier
1528220241
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019921 Issued in PA
Practice address
100 Wonsettler Rd.
Scenery Hill, PA 15360
Phone
(724) 993-2728
NPI assigned
Jun 25, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070019445 IL
Physical Therapist 225100000X PT60023302 WA
Physical Therapist 225100000X PT019921 PA Primary

Addresses

Primary practice location

100 Wonsettler Rd.
Scenery Hill, PA 15360

Mailing address

47 Wonsettler Rd
Scenery Hill, PA 15360-1831
Phone (724) 993-2728

Other practice location 1

6759 Dempster St
Morton Grove, IL 60053-2607
Phone (847) 470-9995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181024001316 PA Practitioner - Physical Therapist in Private Practice 6507002771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wonsettler Physical Therapy and Specialized HealthGroup PAC ID 1850644626, 11 clinicians

Practice addresses (Care Compare)

100 Wonsettler Rd
Scenery Hill, PA 15360-1863
Phone (724) 288-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT019921PAMDPhysical Therapist
PT60023302WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wonsettler Physical Therapy and Specialized Health CurrentSince Sep 2, 2018 Accepting new patients

Locations

100 Wonsettler Rd
Scenery Hill, PA 15360
Phone (724) 200-7377

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1528220241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WONSETTLER RD",
            "city": "SCENERY HILL",
            "state": "PA",
            "postal_code": "153601831",
            "telephone_number": "724-993-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WONSETTLER RD.",
            "city": "SCENERY HILL",
            "state": "PA",
            "postal_code": "15360",
            "telephone_number": "724-993-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6759 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Morton Grove",
            "state": "IL",
            "postal_code": "600532607",
            "country_code": "US",
            "telephone_number": "847-470-9995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONSETTLER",
        "first_name": "CLIFTON",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019445",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60023302",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scenery Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.