Active NPI
Wendolyn Anne Rue, PT
- Physical Therapist
- Oak Harbor, WA
National Provider Identifier
1003947854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00006648
- Practice address
- 5197 Anglers Haven Dr
Oak Harbor, WA 98277-9607 - Phone
- (360) 421-2852
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT00006648 | WA | |
| Physical Therapist | 225100000X | 00006648 | WA | Primary |
Addresses
Primary practice location
5197 Anglers Haven Dr
Oak Harbor, WA 98277-9607
Mailing address
785 SE Bayshore Dr. Suite 102
Oak Harbor, WA 98277-4062
Phone (360) 279-8323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0189569 | Other | WA | LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050413001337 | WA | Practitioner - Physical Therapist in Private Practice | 5193762029 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00006648 | WA | MD | Specialist |
| 00006648 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1003947854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 SE BAYSHORE DR. SUITE 102",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982774062",
"telephone_number": "360-279-8323",
"fax_number": "360-279-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5197 ANGLERS HAVEN DR",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982779607",
"telephone_number": "360-421-2852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUE",
"first_name": "WENDOLYN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "PT00006648",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00006648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0189569",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.