Denise A Wentzel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60013093 Issued in WA

Practice address

1623 NE 107TH Ave
Vancouver, WA 98664-4344

Phone

(360) 356-6811

Fax

(855) 840-8203

NPI assigned

Oct 26, 2011

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 1

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.

• Stargait Portland Physical Therapy, LLC

  • Pediatric Physical Therapist
  • Beaverton, OR
  • NPI 1275129777
  NPD

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1063798726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 NE 166TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "541-292-4244",
            "fax_number": "360-836-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 NE 107TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644344",
            "telephone_number": "360-356-6811",
            "fax_number": "855-840-8203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 NE 166th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986849491",
            "country_code": "US",
            "telephone_number": "541-292-4244",
            "fax_number": "855-840-8203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENTZEL",
        "first_name": "DENISE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06202",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60013093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992192231",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Wendel, DMD
• Kristi Lynn Wendell, BA
• Kimberley Elizabeth Wengrove, N.P.
• Corliss Wentworth, COUNSELOR
• Amara Michelle Wentz, BA
• Ellen Mercedes Wenzel, DPM
• Jean Rae Werner, RPH
• Lane Dean Werner
• Ginger L Werwinski, D.C.
• Deanna Wesley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.