Tarey Ann Wenninger, P.T.,

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6483-024 Issued in WI

Practice address

6123 Green Bay Rd
Suite 140
Kenosha, WI 53142-2927

Phone

(262) 653-9208

Fax

(262) 653-9264

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Tarey Ann Frank Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Back-in-Action Physical Therapy Center of Kenosha, LTD.

  • Physical Therapist
  • Kenosha, WI
  • NPI 1801882451
  NPD (past)
• Dr Thomas J Solecki Jr SC

  • Chiropractor
  • Kenosha, WI
  • NPI 1629063458
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053468397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 GREEN BAY RD",
            "address_2": "SUITE 140",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422927",
            "telephone_number": "262-653-9208",
            "fax_number": "262-653-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6123 GREEN BAY RD",
            "address_2": "SUITE 140",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422927",
            "telephone_number": "262-653-9208",
            "fax_number": "262-653-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNINGER",
        "first_name": "TAREY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6483-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDVL",
            "identifier": "1801882451",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAREY",
            "last_name": "FRANK",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "P.T.,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary Alan Weis, MS
• Linda G Weiss, APNP
• Kelsey Anne Welch, ATC
• Michael M Welch, LCSW
• Kenneth John Wendorf, D.D.S.
• Thomas S Werbie, M.D.
• Jaclyn K Weston, PT
• Cathy Ann Westover, P.T.
• James M. Westover, MA, LPC
• Kimberly Joann Whalen, DPT

• Physical Therapist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.