Active NPI
Jessica Wenz
- Physical Therapist
- Chandler, AZ
National Provider Identifier
1013445485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13017
- Practice address
- 1151 N Fir St
Chandler, AZ 85226-1211 - Phone
- (602) 290-8273
- NPI assigned
- May 30, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13017 | AZ | Primary |
Addresses
Primary practice location
1151 N Fir St
Chandler, AZ 85226-1211
Mailing address
1151 N Fir St
Chandler, AZ 85226-1211
Other practice location 1
3333 N Civic Center Plz
Scottsdale, AZ 85251-6413
Phone (480) 994-1333
Other practice location 2
16428 E Kingstree Blvd
Fountain Hills, AZ 85268-5440
Phone (480) 837-4565
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 |
|---|---|---|---|
| 13017 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Student Therapies and Resource Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Fountain Hills, AZ
- NPI 1366697872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013445485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 N FIR ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852261211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 N FIR ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852261211",
"telephone_number": "602-290-8273"
}
],
"practiceLocations": [
{
"address_1": "3333 N Civic Center Plz",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852516413",
"country_code": "US",
"telephone_number": "480-994-1333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16428 E Kingstree Blvd",
"address_purpose": "LOCATION",
"city": "Fountain Hills",
"state": "AZ",
"postal_code": "852685440",
"country_code": "US",
"telephone_number": "480-837-4565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENZ",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "13017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.