Active NPI
Angela Kay Wilson, PTA
- Physical Therapy Assistant
- Paducah, KY
National Provider Identifier
1932447331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A01606
- Practice address
- 501 N 3Rd St
Paducah, KY 42001-0749 - Phone
- (270) 444-9661
- NPI assigned
- Jan 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | A01606 | KY | Primary |
Addresses
Primary practice location
501 N 3Rd St
Paducah, KY 42001-0749
Mailing address
412 S 17TH St
Mayfield, KY 42066-2017
Phone (270) 519-4037
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 |
|---|---|---|---|
| A01606 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358726400000",
"number": "1932447331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 S 17TH ST",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420662017",
"telephone_number": "270-519-4037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 3RD ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420010749",
"telephone_number": "270-444-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ANGELA",
"middle_name": "KAY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-21",
"last_updated": "2013-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A01606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.