Katherine M Widlar, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA007654 Issued in OH

Practice address

4739 S Fulton Lucas Rd
Swanton, OH 43558-9661

Phone

(419) 266-7827

NPI assigned

Oct 9, 2019

Last updated

Oct 9, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1750923983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 S FULTON LUCAS RD",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435589661",
            "telephone_number": "419-266-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 S FULTON LUCAS RD",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435589661",
            "telephone_number": "419-266-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDLAR",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA007654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Rose Tomallo, PHARM D, RPH
• Pamela Underwood, RPH
• Stacey Vasko
• Village of Swanton
• Anya Westfall
• Antionette Michelle Yarborough
• Julie A Zedlitz
• Maxim Alexander Zlatopolsky, MD

• Physical Therapy Assistant in Swanton, OH
• Providers in Swanton, 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 Oct 9, 2019; 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.