Nicholas A Wardle, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022031 Issued in PA

Practice address

118 Walnut St
Unit 114
Waynesboro, PA 17268-1669

Phone

(717) 655-5681

Fax

(717) 655-5691

NPI assigned

Aug 7, 2012

Last updated

Jul 6, 2015By the provider in NPPES

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shippensburg Physical Therapy and Sports Medicine LLCGroup PAC ID 2860598364, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shippensburg Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Shippensburg, PA
  • NPI 1972671352
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1588911796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK PL",
            "address_2": "SUITE 2",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579806",
            "telephone_number": "717-477-8030",
            "fax_number": "717-477-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WALNUT ST",
            "address_2": "UNIT 114",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172681669",
            "telephone_number": "717-655-5681",
            "fax_number": "717-655-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDLE",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027113070003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Vargas
• Laurie Ann Vogel, PHARMD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3633)
• Wal-Mart Stores East, LP (Vision Center 30-3633)
• Angie Marie Wallace, CRNP
• Hina Warraich
• Christine Kay Washington
• Waynesboro Ambulance Squad Inc
• Waynesboro Area Advanced Life Support Unit
• Waynesboro Area School District

• Physical Therapist in Waynesboro, PA
• Providers in Waynesboro, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.