Katy Wedgeworth

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2140818 Issued in TX

Practice address

1401 Rice Rd
Tyler, TX 75703-3233

Phone

(903) 561-6060

NPI assigned

Aug 10, 2018

Last updated

Aug 10, 2018By the provider in NPPES

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1679052617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S BONNER ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662330",
            "telephone_number": "903-589-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RICE RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033233",
            "telephone_number": "903-561-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 S Bonner St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757662330",
            "country_code": "US",
            "telephone_number": "903-589-9871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDGEWORTH",
        "first_name": "KATY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2140818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Elizabeth Weber, D.D.S.
• Michael Andrew Weber, M.D.
• Bonnie Webster
• Holly Paige Webster
• Kyle Andrew Webster, MD
• Mary Weedn
• Amber Weems, DDS
• Coy Weems
• Luke Weems, OTA
• Emily Kristin Weesner, RN

• Physical Therapy Assistant in Tyler, TX
• Providers in Tyler, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.