Active NPI
Wesley McCool, PTA
- Physical Therapy Assistant
- Lexington, KY
National Provider Identifier
1861240293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A04470
- Practice address
- 3775 Belleau Wood Dr
Lexington, KY 40517-1804 - Phone
- (859) 271-9000
- NPI assigned
- May 9, 2024
- 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 | A04470 | KY | Primary |
Addresses
Primary practice location
3775 Belleau Wood Dr
Lexington, KY 40517-1804
Mailing address
1386 Parkman PL
Beavercreek, OH 45434-6937
Phone (361) 648-3635
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 |
|---|---|---|---|
| A04470 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1861240293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1386 PARKMAN PL",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454346937",
"telephone_number": "361-648-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3775 BELLEAU WOOD DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405171804",
"telephone_number": "859-271-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOOL",
"first_name": "WESLEY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A04470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.