Benjamin James Wingerter, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2070249 Issued in TX

Practice address

4100 13TH Ave S
Great Falls, MT 59405-8027

Phone

(406) 788-5670

NPI assigned

Jan 6, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1770813172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 13TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594058027",
            "telephone_number": "406-788-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 13TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594058027",
            "telephone_number": "406-788-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGERTER",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2070249",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "2191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Stocker Willis, LCPC
• Deziray Alexus Wilson
• Katelyn Wilson
• Amanda Winfrey
• Linda Kay Wing, RDH
• Christina Bruce Wingerter, LCPC
• Jessie Rae Winkler
• Kami L Winnicki, FNP
• Larry Rodney Winship
• Glenn A Winslow, MD

• Physical Therapy Assistant in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Physical Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.