Keith A Wobeser IV, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011767L Issued in PA

Practice address

57 W Eagle Rd
Havertown, PA 19083-2234

Phone

(610) 987-9887

Fax

(610) 987-9883

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Pain Relief and Physical Therapy, Inc.

  • Physical Therapist
  • Havertown, PA
  • NPI 1649234923
  NPD (past)
• Restoration Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Media, PA
  • NPI 1174826184

  Physical Therapist

  NPD (past)
• Seven Summits Therapy & Fitness LLC

  • Physical Therapist
  • Wayne, PA
  • NPI 1427113943
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1821053281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BLACK ROCK RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351407",
            "telephone_number": "610-506-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832234",
            "telephone_number": "610-987-9887",
            "fax_number": "610-987-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOBESER",
        "first_name": "KEITH",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011767L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER #",
            "identifier": "3204065",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRADITIONAL PROV. #",
            "identifier": "7680482",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "WO1466561",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "P00433225",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE PIN",
            "identifier": "2150818000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE PIN",
            "identifier": "2150818000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene C. Williams, MT-BC
• Shanta Williams
• Timothy Williams
• Patrick Joseph Wilson
• Stanley Wilson
• Alfred John Wolanin Jr., DDS
• Casimir M Wolanin, DMD
• Carolyn Wolff
• Jacqueline M Wright, PA-C
• Janet Michelle Wright

• Physical Therapist in Havertown, PA
• Providers in Havertown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.