Active NPI
Annette M Willgens, P.T.
- Physical Therapist
- Rochester, NY
National Provider Identifier
1831231091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011240-1
- Practice address
- 100 Metro Park
Suite 105
Rochester, NY 14623-2610 - Phone
- (585) 427-7610
- Fax
- (585) 427-7410
- NPI assigned
- Feb 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011240-1 | NY | Primary |
Addresses
Primary practice location
100 Metro Park
Suite 105
Rochester, NY 14623-2610
Mailing address
200 Southshore Place
Webster, NY 14580
Phone (585) 261-3703
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011240-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831231091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SOUTHSHORE PLACE",
"city": "WEBSTER",
"state": "NY",
"postal_code": "14580",
"telephone_number": "585-261-3703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 METRO PARK",
"address_2": "SUITE 105",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232610",
"telephone_number": "585-427-7610",
"fax_number": "585-427-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLGENS",
"first_name": "ANNETTE",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011240-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
- Rodney B Wilkinson, LPN
- Jason Leo Wilkosz, RN
- Jessica Willcox, PA
- Christine M Wille, RN, MS, ANP
- William Nicholas Willett, R.P.A.-C.
- William a Dolan M D P C
- William J. Brorein, Jr., M.D., PH.D.
- William McCale, LCSW, PLLC
- William R. Morehouse, MD (Joy Family Medicine)
- William Y. Chey, M.D., D.SC. & Associates for Digestive and Liver Dise
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.