Active NPI
Rachel Wymer, PT, DPT
- Physical Therapist
- Ashtabula, OH
National Provider Identifier
1821571787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014568
- Practice address
- 3705 State Rd # 102
Ashtabula, OH 44004-5957 - Phone
- (440) 997-0014
- NPI assigned
- Sep 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13090 | CT | |
| Physical Therapist | 225100000X | 070.026009 | IL | |
| Physical Therapist | 225100000X | 28704 | MD | |
| Physical Therapist | 225100000X | PT029610 | PA | |
| Physical Therapist | 225100000X | 5501020216 | MI | |
| Physical Therapist | 225100000X | 25790 | MA | |
| Physical Therapist | 225100000X | PT37897 | FL | |
| Physical Therapist | 225100000X | 048163 | NY | |
| Physical Therapist | 225100000X | PT200001202 | DC | |
| Physical Therapist | 225100000X | 014568 | OH | Primary |
Addresses
Primary practice location
3705 State Rd # 102
Ashtabula, OH 44004-5957
Mailing address
65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone (385) 308-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28704 | MD | MD | Clinical Social Worker |
| PT200001202 | DC | MD | Physical Therapist |
| PT37897 | FL | MD | Physical Therapist |
| 070.026009 | IL | MD | Physical Therapist |
| 25790 | MA | MD | Physical Therapist |
| 5501020216 | MI | MD | Physical Therapist |
| 048163 | NY | MD | Physical Therapist |
| 014568 | OH | MD | Physical Therapist |
| PT029610 | PA | MD | Physical Therapist |
Interoperability endpoints
- rwymer39200@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1821571787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 E WADSWORTH PARK DR STE 230",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208096",
"telephone_number": "385-308-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 STATE RD # 102",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440045957",
"telephone_number": "440-997-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYMER",
"first_name": "RACHEL",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "13090",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.026009",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28704",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT029610",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501020216",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25790",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37897",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "048163",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT200001202",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "014568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.