Active NPI
Wimmer Physical Therapy PA
- Physical Therapist
- Pittsburg, KS
National Provider Identifier
1710352877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-1218
- Legal business name
- WIMMER PHYSICAL THERAPY PA
- Practice address
- 2609 E 16TH St
Pittsburg, KS 66762-8436 - Phone
- (620) 232-6308
- NPI assigned
- Dec 1, 2015
- Last updated
- Feb 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Lynn Wimmer, PT
- Title
- President
- Phone
- (620) 249-0058
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-1218 | KS | Primary |
Addresses
Primary practice location
2609 E 16TH St
Pittsburg, KS 66762-8436
Mailing address
2609 E 16TH St
Pittsburg, KS 66762-8436
Phone (620) 232-6308
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Pittsburg, KS
- NPI 1235252735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676678400000",
"number": "1710352877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 E 16TH ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667628436",
"telephone_number": "620-232-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 E 16TH ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667628436",
"telephone_number": "620-232-6308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIMMER PHYSICAL THERAPY PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-01",
"last_updated": "2023-02-18",
"certification_date": "2023-02-18",
"status": "A",
"authorized_official_last_name": "WIMMER",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "620-249-0058",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-1218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.