Active NPI
Wendy Ilona Reid, M.S. P.T.
- Physical Therapist
- Washington, DC
National Provider Identifier
1063707891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 870371
- Practice address
- 1 Logan Cir NW Apt 2
Washington, DC 20005-3758 - Phone
- (202) 265-5819
- NPI assigned
- Jun 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 870371 | DC | Primary |
Addresses
Primary practice location
1 Logan Cir NW Apt 2
Washington, DC 20005-3758
Mailing address
1 Logan Cir NW Apt 2
Washington, DC 20005-3758
Phone (202) 265-5819
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 870371 | DC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Sportscare & Rehab, LLC | Physical Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1063707891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LOGAN CIR NW APT 2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200053758",
"telephone_number": "202-265-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LOGAN CIR NW APT 2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200053758",
"telephone_number": "202-265-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "WENDY",
"middle_name": "ILONA",
"credential": "M.S. P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "870371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.