Cheryl E. Wanek, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1051456 Issued in TX

Practice address

4607 Menchaca Rd
Austin, TX 78745-1607

Phone

(512) 916-1511

Fax

(512) 916-1532

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kidtherapy, PLLC

  • Pediatric Physical Therapist
  • Austin, TX
  • NPI 1124213046
  NPD (past)
• Little Tesoros Therapy Services, L.L.P.

  • Physical Therapist
  • Austin, TX
  • NPI 1639186828
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1013967256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 BURNET RD",
            "address_2": "SUITE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585254",
            "telephone_number": "512-248-2422",
            "fax_number": "512-248-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MENCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451607",
            "telephone_number": "512-916-1511",
            "fax_number": "512-916-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4407 Monterey Oaks Blvd",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787494411",
            "country_code": "US",
            "telephone_number": "512-248-2422",
            "fax_number": "512-248-2354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANEK",
        "first_name": "CHERYL",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1429-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1051456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84340T",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0626582-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTHPLAN",
            "identifier": "122582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Walts-Osma, M.A., L.P.C.
• Jack Lee Walzel, MD
• Nicole Hoyun Wan, DC
• Wanda E Price
• Gabriel D. Wander, CRNA
• Andrew Wang, D.O.
• Chiufen Wang, ACUPUNCTURIST
• David Poshi Wang, M.D.
• Diana Yun-Guan Wang, MD
• Guoen Wang, L.AC.

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.