Individual provider Active NPI

Patti Marie Wendt, PTA

  • Physical Therapy Assistant
  • Natrona Heights, PA
National Provider Identifier
1013165091
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TEI000583 Issued in PA
Practice address
1830 Union Ave Ste a
Natrona Heights, PA 15065-2201
Phone
(724) 904-7794
Fax
(724) 904-7776
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI000583 PA Primary

Addresses

Primary practice location

1830 Union Ave Ste a
Natrona Heights, PA 15065-2201

Mailing address

200 Renaissance Dr Ste 103
Butler, PA 16001-7612
Phone (724) 256-9606

Other practice location 1

1701 3rd St Ste 4
Beaver, PA 15009-2432
Phone (878) 207-2192

Other practice location 2

200 Renaissance Dr Ste 103
Butler, PA 16001-7612
Phone (724) 256-9606

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
TEI000583PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1013165091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RENAISSANCE DR STE 103",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160017612",
            "telephone_number": "724-256-9606",
            "fax_number": "724-256-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 UNION AVE STE A",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652201",
            "telephone_number": "724-904-7794",
            "fax_number": "724-904-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 3rd St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150092432",
            "country_code": "US",
            "telephone_number": "878-207-2192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Renaissance Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160017612",
            "country_code": "US",
            "telephone_number": "724-256-9606",
            "fax_number": "724-256-9609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDT",
        "first_name": "PATTI",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI000583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.