Active NPI
Nancy E Wolff, MS,PT
- Physical Therapist
- Roswell, GA
National Provider Identifier
1619021227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008928
- Practice address
- 880 Marietta Hwy
Suite 630-310
Roswell, GA 30075-6755 - Phone
- (914) 837-8297
- Fax
- (770) 643-3788
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008928 | GA | Primary |
Addresses
Primary practice location
880 Marietta Hwy
Suite 630-310
Roswell, GA 30075-6755
Mailing address
880 Marietta Hwy
Suite 630-310
Roswell, GA 30075-6755
Phone (914) 837-8297
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008928 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peewee P.T., Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Roswell, GA
- NPI 1760721179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1619021227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 MARIETTA HWY",
"address_2": "SUITE 630-310",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300756755",
"telephone_number": "914-837-8297",
"fax_number": "770-643-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 MARIETTA HWY",
"address_2": "SUITE 630-310",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300756755",
"telephone_number": "914-837-8297",
"fax_number": "770-643-3788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "NANCY",
"middle_name": "E",
"credential": "MS,PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.