Cynthia K Wissink-Ghost, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2688 Issued in AZ

Practice address

2054 E Southern Ave
Tempe, AZ 85282-7515

Phone

(480) 755-1505

Fax

(480) 755-1504

NPI assigned

Oct 24, 2012

Last updated

Oct 24, 2012By the provider in NPPES

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 names 1

• Cynthia K Wissink Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capptcg, LLCGroup PAC ID 2668770157, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capptcg, LLC

  dba AT Home Therapy

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1922498500
  Medicare reassignment Care Compare group NPD
• Sunset Physical Therapy, Inc

  • Physical Therapist
  • Tempe, AZ
  • NPI 1811918113
  NPD (past)

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1861745044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24858",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852854858",
            "telephone_number": "480-755-1505",
            "fax_number": "480-755-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827515",
            "telephone_number": "480-755-1505",
            "fax_number": "480-755-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSINK-GHOST",
        "first_name": "CYNTHIA",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "WISSINK",
            "middle_name": "K",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darcey Marianna Winterland, M.D.
• Jennifer Thu Winthers, DO
• Jasmine Wirth
• Thomas D Wisener, F.N.P.
• Arrol Alan Wissel, FNP
• With an Open Heart, LLC.
• Jennifer Michelle Withee, FNP-C
• Alyssa Wittman
• Wliaz Support Group, PLC
• Tamrat Wodajo

• Physical Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.