Wendy E Lavin, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

91-1889011 Issued in WA

Practice address

4464 Fremont Ave N Ste 102
Seattle, WA 98103-7290

Phone

(206) 817-5896

Fax

(206) 326-1398

NPI assigned

Jan 12, 2007

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

Other names 1

• Wendy Landry Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mti Physical Therapy Fremont

  • Physical Therapist
  • Seattle, WA
  • NPI 1972723708
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1053462614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14741 22ND AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557302",
            "telephone_number": "206-817-2676",
            "fax_number": "206-326-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4464 FREMONT AVE N STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037290",
            "telephone_number": "206-817-5896",
            "fax_number": "206-326-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "WENDY",
        "middle_name": "E",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "91-1889011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "LANDRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Lavell
• Lavender Mental Health PLLC
• Donovan Shane Lavergne, LMP
• Laura Ann Lavezo, PHARMD
• Joe Lavin, LMP
• Jennifer A. Lavine, MSW
• Stephen R. Lavine, M.D.
• Marya C Laviste, MA, LMHC
• David Scott Lavitt, M.D.
• Emma Lavrushchak

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.