Wesley William Wickwar, PT FAAOMPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1103245 Issued in KS

Practice address

1800 Palace Dirve
Suite C
Garden City, KS 67846

Phone

(620) 271-0700

Fax

(620) 271-0703

NPI assigned

Sep 15, 2006

Last updated

Jun 5, 2008By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

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

• Sandhill Orthopaedic & Sportsmedicine, LLC

  • Specialist
  • Garden City, KS
  • NPI 1144248899
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1861598088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TYLER DR",
            "city": "HOLCOMB",
            "state": "KS",
            "postal_code": "678519752",
            "telephone_number": "620-277-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PALACE DIRVE",
            "address_2": "SUITE C",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-271-0700",
            "fax_number": "620-271-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKWAR",
        "first_name": "WESLEY",
        "middle_name": "WILLIAM",
        "credential": "PT FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "1103245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Kansas Rehabilitation Services PA (Synergy Physical Therapy & Wellness)
• Western Kansas Surgical Professional Association
• Western Pathology Services PA
• Tara Whipple, DC
• Mary E White, ARNP-C
• Micah Wiesner, PA
• Wildcat PT, LLC
• Carmen Lynn Wilhelm, NP
• Williams Medical Group Practice, LLC (Integrity Urgent Care)
• Charles Williams, PT

• Orthopedic Physical Therapist in Garden City, KS
• Providers in Garden City, KS by specialty
• Orthopedic Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.