Wendy Michelle Eickmann, PHYSICAL THERAPIST

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

0006631 Issued in CO

Practice address

2919 17TH Ave
Longmont, CO 80503-1650

Phone

(303) 702-0410

NPI assigned

Jul 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1043733355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 42ND ST SW",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805377520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 17TH AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805031650",
            "telephone_number": "303-702-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKMANN",
        "first_name": "WENDY",
        "middle_name": "MICHELLE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CO",
            "license": "0006631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ehle-Parker, LPCC
• James Louis Ehrlich
• Maria L Ehrlich, RN
• Joshua David Ehrmantraut, DC
• Virginia E Eichorn, LAC, LMT
• Joy Alice Eisenhauer
• Maryanne Njideka Ejidike, M.B.B.S.
• Ekg Associates Prof LLP
• Elan Sleep LLC
• Elders Rising LLC

• Geriatric Physical Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Geriatric Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.