Kathleen P Whalen, PT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT04687 Issued in OH

Practice address

145 Smokerise Dr
Wadsworth, OH 44281-8702

Phone

(330) 335-4200

Fax

(330) 335-7131

NPI assigned

Oct 21, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Columbia University College of Physicians and Surgeons, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wadsworth Family Physical Therapy IncGroup PAC ID 0648243857, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wadsworth Family Physical Therapy Inc

  • Physical Therapist
  • Wadsworth, OH
  • NPI 1811986847
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861481871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SMOKERISE DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818702",
            "telephone_number": "330-335-4200",
            "fax_number": "330-335-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SMOKERISE DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818702",
            "telephone_number": "330-335-4200",
            "fax_number": "330-335-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "KATHLEEN",
        "middle_name": "P",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT04687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0952278",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Elaine Watterson, C.R.N.P.
• Robert Andrew Welch
• Wellability
• Wellability LLC
• Aaron Wertz
• Vincent M Whalen, PT, MS, OCS, NCS
• Susan Marie White, LPC
• Wilkins Family Counseling LLC
• Margaret A Wilkins, LISW
• Jillian Williams, MSW, LSW

• Physical Therapist in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Physical Therapist in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.