Heather Marie Wale, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

012329 Issued in OH

Practice address

11230 State Route 364
Saint Marys, OH 45885-9534

Phone

(419) 394-2366

NPI assigned

Sep 9, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1558030809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 JACKSON ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852069",
            "telephone_number": "567-644-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 STATE ROUTE 364",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458859534",
            "telephone_number": "419-394-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALE",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "012329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True-Blue Transport LLC.
• Macy L Turner
• Vlop LLC
• W Victor Vonblon, OD
• Michelle Lee Voress, ATC/LAT
• William Walker
• Gregory J Walter, R.PH.
• Janet Sue Ward
• Wayne R. Hudson, DO, Inc
• We Can Too LLC

• Physical Therapy Assistant in Saint Marys, OH
• Providers in Saint Marys, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.