Active NPI
Thomas John Wolbert, OTR
- Specialist
- East Rochester, NY
National Provider Identifier
1619006186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2305-01
- Practice address
- 349 W Commercial St
East Rochester, NY 14445-2407 - Phone
- (585) 340-2000
- Fax
- (585) 340-2006
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2305-01 | NY | Primary |
Addresses
Primary practice location
349 W Commercial St
East Rochester, NY 14445-2407
Mailing address
16 Dumont St
Rochester, NY 14617-2822
Phone (585) 342-1532
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305-01 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1619006186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 DUMONT ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146172822",
"telephone_number": "585-342-1532",
"fax_number": "585-340-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 W COMMERCIAL ST",
"city": "EAST ROCHESTER",
"state": "NY",
"postal_code": "144452407",
"telephone_number": "585-340-2000",
"fax_number": "585-340-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLBERT",
"first_name": "THOMAS",
"middle_name": "JOHN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2305-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.