Active NPI
Wingimar Lackey
- Physical Therapist
- Bensalem, PA
National Provider Identifier
1952797391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTQA01062000
- Practice address
- 3213 Ellington CT
Bensalem, PA 19020-1934 - Phone
- (267) 968-8403
- NPI assigned
- Apr 13, 2015
- Last updated
- Apr 13, 2015
- 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 Therapist | 225100000X | PTQA01062000 | Primary |
Addresses
Primary practice location
3213 Ellington CT
Bensalem, PA 19020-1934
Mailing address
3213 Ellington CT
Bensalem, PA 19020-1934
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1952797391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 ELLINGTON CT",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190201934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3213 ELLINGTON CT",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190201934",
"telephone_number": "267-968-8403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACKEY",
"first_name": "WINGIMAR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "PTQA01062000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bensalem, PA
- Jennifer Kwok, O.D.
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- Labensa Homecare Services LLC
- Laboratory Corporation of America Holdings
- Jeffrey Lamont, D.C.
- Sylvia Marie Lamont, D.C.
- Langhorne Physician Services (St. Mary Family Practice - Neshaminy)
- Laniacare Agency LLC
- Sarah E Latrano, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.