NPIMap

Organization Active NPI

Wonsettler Physical Therapy and Specialized Health

Doing business as n/a

  • Physical Therapy Clinic/Center
  • Scenery Hill, PA
National Provider Identifier
1629564471
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT019921 Issued in PA
Legal business name
WONSETTLER PHYSICAL THERAPY AND SPECIALIZED HEALTH
Doing business as
n/a
Practice address
100 Wonsettler Rd
Scenery Hill, PA 15360-1863
Phone
(724) 288-4990
NPI assigned
Jul 5, 2018
Last updated
Jul 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Authorized official

Name
Dr. Clifton Wonsettler, DPT, CSCSNPI 1528220241
Title
Owner/Physical Therapist
Phone
(724) 288-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT019921 PA Primary

Addresses

Primary practice location

100 Wonsettler Rd
Scenery Hill, PA 15360-1863

Mailing address

47 Wonsettler Rd
Scenery Hill, PA 15360-1831
Phone (724) 288-4990

Other names 1

  • n/a Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181024001116 PA Part B Supplier - Clinic/Group Practice 1850644626 Receives reassigned benefits from 15 practitioners
Practice locations: Scenery Hill, PA

National Provider Directory

National Provider Directory

Locations

100 Wonsettler Rd
Scenery Hill, PA 15360
Phone (724) 200-7377

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1629564471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WONSETTLER RD",
            "city": "SCENERY HILL",
            "state": "PA",
            "postal_code": "153601831",
            "telephone_number": "724-288-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WONSETTLER RD",
            "city": "SCENERY HILL",
            "state": "PA",
            "postal_code": "153601863",
            "telephone_number": "724-288-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONSETTLER PHYSICAL THERAPY AND SPECIALIZED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "WONSETTLER",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "724-288-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT019921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scenery Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.