David Frederick-Keeber Wurtsmith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502006253 Issued in MI

Practice address

505 E Alcott St
Kalamazoo, MI 49001-6144

Phone

(954) 235-7909

NPI assigned

Feb 1, 2024

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

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1821851858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PINE ST",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "490879710",
            "telephone_number": "586-381-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E ALCOTT ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490016144",
            "telephone_number": "954-235-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTSMITH",
        "first_name": "DAVID",
        "middle_name": "FREDERICK-KEEBER",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502006253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Wright
• William Wright, D.D.S.
• Jordan Wroblewski
• Marcy Wujkowski, MA, LLP, LPC
• Douglas J Wunderly, MD
• Stephanie Wydick, PTA
• Clayton Wyland
• Stephen Todd Wysong, M.D.
• Rui Xiao
• Xiaorong Yan, MD

• Physical Therapy Assistant in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.