Kristy Six Wolfe, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

30401 Issued in FL

Practice address

2965 20TH St
Vero Beach, FL 32960-3097

Phone

(772) 567-8585

NPI assigned

Aug 16, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Advanced Motion Therapeutic Massage, Inc

  • Rehabilitation Clinic/Center
  • Vero Beach, FL
  • NPI 1063571982
  NPD (past)
• Advanced Motion Therapeutic Massage,Inc

  • Massage Therapist
  • Vero Beach, FL
  • NPI 1245363597
  NPD (past)

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1710598396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603097",
            "telephone_number": "772-567-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIX WOLFE",
        "first_name": "KRISTY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "30401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa D Simpson, P.T.
• Simsovic Chiropractic LLC
• Stephanie Simsovic, DC
• Prasad R Siripurapu, MD
• Moussa Sissoko, MD
• Paul Alexander Skaff, M.D.
• Paul Hunter Skaggs, M.D.
• Skin Cancer Center of the Treasure Coast, Inc.
• Mary Therese Skinner, LMHC
• Skypoint Chiropractic, PLLC

• Physical Therapy Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.