Individual provider Active NPI

Henry Clair Wessman, P.T.

  • Physical Therapist
  • Fargo, ND
National Provider Identifier
1922209477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
153 Issued in ND
Practice address
1594 Sundance Dr S
Fargo, ND 58104-7296
Phone
(701) 451-0123
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
356MNMDMental Health Counselor
153NDMDPhysical Therapist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 153 ND Primary
Physical Therapist 225100000X 356 MN

Addresses

NPPES NPI Registry

Primary practice location

1594 Sundance Dr S
Fargo, ND 58104-7296

Mailing address

1594 Sundance Dr S
Fargo, ND 58104-7296
Phone (701) 451-0123

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922209477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 SUNDANCE DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047296",
            "telephone_number": "701-451-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 SUNDANCE DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047296",
            "telephone_number": "701-451-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSMAN",
        "first_name": "HENRY",
        "middle_name": "CLAIR",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "153",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.