Karen Wyatt, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00136000 Issued in NJ

Practice address

501 Bay Ave
Somers Point, NJ 08244-2553

Phone

(609) 653-4141

Fax

(609) 653-1114

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669534525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 HAMILTON CT",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302807",
            "telephone_number": "609-625-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAY AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442553",
            "telephone_number": "609-653-4141",
            "fax_number": "609-653-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "KAREN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00136000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Morrow DO PA
• William M. Wixted M.D., P.C.
• Willow Medical
• William M Wixted, M.D.
• Donald Wong, RPH CIP
• Justin Peter Yandoli, DPT
• Ravi Yangala, M.D.
• Pierre Yankovitch, M.D.
• Stephen J Zabinski, M.D.
• Azwar Zahid

• Physical Therapy Assistant in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.