Phillip Stanley Wolfe, O.T.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0443 Issued in AZ

Practice address

16020 S 23Rd St
Phoenix, AZ 85048-4206

Phone

(480) 290-3568

NPI assigned

Jun 29, 2009

Last updated

Jun 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in AZ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of North Dakota School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zancam LLCGroup PAC ID 9638123334, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zancam LLC

  dba Personal Pain Relief

  • Physical Therapy Clinic/Center
  • Mesa, AZ
  • NPI 1073712998
  Medicare reassignment Care Compare group NPD
• Anderson & Bates Inc

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1003098245
  Medicare reassignment NPD
• Arizona Mobile Therapy LLC

  • Physical Therapist
  • Surprise, AZ
  • NPI 1104521616
  Medicare reassignment NPD
• Above & Beyond Mobile Therapy LLC.

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
  • NPI 1972958460
  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1760610828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16020 S 23RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850484206",
            "telephone_number": "480-290-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16020 S 23RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850484206",
            "telephone_number": "480-290-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "PHILLIP",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "0443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Andrew Wolfe, M.D.
• John D Wolfe, MD
• Joy Gerise Wolfe, MD
• Kimberly A Wolfe, MS CCC SLP
• Kimberly Ann Wolfe, PA-C
• Randy David Wolfe, OD
• Stacy Wolfe
• Susan Wolfe, LPC
• Tonya Rae Wolfe, LPTA
• Mary Ann Wolfenson, RN, DNP

• Pediatric Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.