Organization Active NPI

Cumming Physical Medicine

Doing business as Wortman Healthcare

  • Chiropractor
  • Cumming, GA
National Provider Identifier
1619074853
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04723 Issued in GA
Legal business name
CUMMING PHYSICAL MEDICINE
Doing business as
Wortman Healthcare
Practice address
1685 Market Place Blvd
Cumming, GA 30041-7936
Phone
(770) 889-3445
Fax
(770) 889-2212
NPI assigned
Sep 20, 2006
Last updated
Nov 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Dr. Jon Seth Wortman, D.C.
Title
Business Owner
Phone
(770) 889-3445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04723 GA Primary

Addresses

Primary practice location

1685 Market Place Blvd
Cumming, GA 30041-7936

Mailing address

1685 Market Place Blvd
Cumming, GA 30041-7936
Phone (770) 889-3445

Other names 1

  • Wortman Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

1685 Market Place Blvd
Cumming, GA 30041
Phone (770) 889-3445

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1619074853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 MARKET PLACE BLVD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417936",
            "telephone_number": "770-889-3445",
            "fax_number": "770-889-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 MARKET PLACE BLVD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417936",
            "telephone_number": "770-889-3445",
            "fax_number": "770-889-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMING PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "WORTMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "770-889-3445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "04723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wortman Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.