NPIMap

Organization Active NPI

Thomas L Wenhold Physical Therapist PC

  • Specialist
  • Lyndonville, NY
National Provider Identifier
1972725653
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
006954-1 Issued in NY
Legal business name
THOMAS L WENHOLD PHYSICAL THERAPIST PC
Practice address
Pob 481
25 Lake Avenue
Lyndonville, NY 14098-0481
Phone
(585) 765-2562
Fax
(585) 765-2198
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas Wenhold, PHYSICAL THERAPIST
Title
President
Phone
(585) 765-2562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 006954-1 NY Primary

Addresses

Primary practice location

Pob 481
25 Lake Avenue
Lyndonville, NY 14098-0481

Mailing address

Pob 481
25 Lake Avenue
Lyndonville, NY 14098-0481
Phone (585) 765-2562

National Provider Directory

National Provider Directory

Locations

25 Lake Ave
Lyndonville, NY 14098
Phone (585) 765-2562

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1972725653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 481",
            "address_2": "25 LAKE AVENUE",
            "city": "LYNDONVILLE",
            "state": "NY",
            "postal_code": "140980481",
            "telephone_number": "585-765-2562",
            "fax_number": "585-765-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POB 481",
            "address_2": "25 LAKE AVENUE",
            "city": "LYNDONVILLE",
            "state": "NY",
            "postal_code": "140980481",
            "telephone_number": "585-765-2562",
            "fax_number": "585-765-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L WENHOLD PHYSICAL THERAPIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "WENHOLD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-765-2562",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "006954-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.