Organization Active NPI

Wimmer Physical Therapy PA

  • Physical Therapist
  • Pittsburg, KS
National Provider Identifier
1710352877
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-1218 Issued in KS
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol Lynn Wimmer, PTNPI 1235252735
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.