Kaitlyn Neleh Wolfgang

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA013370 Issued in OH

Practice address

781 Fairgrounds Rd
Mount Vernon, OH 43050-1165

Phone

(740) 263-7997

NPI assigned

May 15, 2024

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

Other names 1

• Kaitlyn Neleh Howell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sportpro LLC

  • Physical Therapy Clinic/Center
  • Mount Vernon, OH
  • NPI 1881069789
  NPD

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1700635323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 STATE ROUTE 13",
            "city": "BELLVILLE",
            "state": "OH",
            "postal_code": "448139014",
            "telephone_number": "419-709-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 FAIRGROUNDS RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501165",
            "telephone_number": "740-263-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFGANG",
        "first_name": "KAITLYN",
        "middle_name": "NELEH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA013370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "HOWELL",
            "middle_name": "NELEH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Nicole Wise, PHARMD, RPH
• Sharon Renee Wise, LPN, CDCA
• Kristen N Witham, DO
• Catherine R Wohlford, CNP
• Rachel Wolf, CNP
• Rebecca Gay Wood
• Alisha Marie Woodruff
• Kylie Cheyenne Workman
• Logan Wright
• Tammy Rene Wright, STNA

• Physical Therapy Assistant in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.