Ty S Wakefield, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2101 Issued in NV

Practice address

1301 Bertha Howe Ave
Suite 7
Mesquite, NV 89027-7502

Phone

(702) 346-1899

Fax

(702) 346-8581

NPI assigned

Mar 8, 2007

Sex

Male

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)

Enrolled

Practice roles

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.

• Mesa View Home Care

  • In Home Supportive Care Agency
  • Mesquite, NV
  • NPI 1043559248
  NPD (past) Authorized official
• Mesa View Home Care, LLC

  • Home Health Agency
  • Mesquite, NV
  • NPI 1811174196
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1689705758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FALCON RIDGE PKWY",
            "address_2": "BUILDING 200 STE A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278877",
            "telephone_number": "702-346-2460",
            "fax_number": "702-346-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE",
            "address_2": "SUITE 7",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277502",
            "telephone_number": "702-346-1899",
            "fax_number": "702-346-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "TY",
        "middle_name": "S",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virgin Valley Medical Center
• Virgin Valley Mental Health LLC
• Vision Consultants
• W Milyani PC
• Travis L. Wakefield, MSPT
• Wal-Mart Stores, Inc.
• Walgreen Co
• Walmart Inc.
• West Michigan Emdr Therapy and Consulting PLLC
• Trevor White, DDS

• Physical Therapist in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.