Ruth Anna Cenova-Wotring, PTA/L

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06002950A Issued in IN

Practice address

2222 Sullivan TRL Ste 105
Easton, PA 18040-7958

Phone

(574) 261-7058

NPI assigned

Jan 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1568092757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 E JEFFERSON BLVD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465457235",
            "telephone_number": "574-261-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL STE 105",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "574-261-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENOVA-WOTRING",
        "first_name": "RUTH",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "PTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06002950A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcenova-wotring@westongroupinc.com",
            "affiliation": "N",
            "endpointDescription": "Corporate email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2222 Sullivan Trl Ste 105",
            "city": "Easton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180407958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapy Assistant in Easton, PA
• Providers in Easton, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.