Active NPI
John Warfield Whitworth, PTA
- Physical Therapy Assistant
- Ellensburg, WA
National Provider Identifier
1831496298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- P160132513
- Practice address
- 1050 E Mountain View Ave
Ellensburg, WA 98926-3930 - Phone
- (509) 925-4171
- NPI assigned
- Feb 22, 2011
- Sex
- Male
- 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 Therapy Assistant | 225200000X | P160132513 | WA | Primary |
Addresses
Primary practice location
1050 E Mountain View Ave
Ellensburg, WA 98926-3930
Mailing address
11850 Nicholas St
Ste 100
Omaha, NE 68154-4476
Phone (877) 230-3885
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 |
|---|---|---|---|
| P160132513 | WA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1831496298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11850 NICHOLAS ST",
"address_2": "STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544476",
"telephone_number": "877-230-3885",
"fax_number": "402-505-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E MOUNTAIN VIEW AVE",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263930",
"telephone_number": "509-925-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITWORTH",
"first_name": "JOHN",
"middle_name": "WARFIELD",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-22",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "P160132513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.