Active NPI
John B Wadsworth, PT
- Physical Therapist
- Spruce Pine, NC
National Provider Identifier
1710005210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8457
- Practice address
- 125 Hospital Dr
Spruce Pine Hospital
Spruce Pine, NC 28777-3035 - Phone
- (828) 765-7901
- Fax
- (828) 766-3065
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8457 | NC | Primary |
Addresses
Primary practice location
125 Hospital Dr
Spruce Pine Hospital
Spruce Pine, NC 28777-3035
Mailing address
PO Box 943
209 North Mitchell
Bakersville, NC 28705-0943
Phone (828) 284-0103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8457 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710005210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 943",
"address_2": "209 NORTH MITCHELL",
"city": "BAKERSVILLE",
"state": "NC",
"postal_code": "287050943",
"telephone_number": "828-284-0103",
"fax_number": "828-766-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 HOSPITAL DR",
"address_2": "SPRUCE PINE HOSPITAL",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "287773035",
"telephone_number": "828-765-7901",
"fax_number": "828-766-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADSWORTH",
"first_name": "JOHN",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spruce Pine, NC
- Carrie Helene Trantham, PHARMD
- Terry A Troy, CRNA
- Robert Lloyd Van Brederode, DPM
- Megan Robinson Vestal, FNP
- Vets to Drones 501C (3) (Vets to Drones)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2749)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
- Diane Walker, OD
- Marvin Walker, OD
- Zachary Wermers, DPT
Sources for this page
- 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.