Individual provider Active NPI

Wendy Clary

  • Physical Therapy Assistant
  • Wisconsin Rapids, WI
National Provider Identifier
1083585749
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
82-19 Issued in WI
Practice address
1041 Hill St
Wisconsin Rapids, WI 54494-5202
Phone
(715) 424-8500
NPI assigned
Sep 16, 2025
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 82-19 WI Primary

Addresses

Primary practice location

1041 Hill St
Wisconsin Rapids, WI 54494-5202

Mailing address

880 Church Ave
Nekoosa, WI 54457-8222
Phone (715) 424-8500

Other practice location 1

1015 Angelus Dr
Nekoosa, WI 54457-1617
Phone (715) 886-2120

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

State licenses

LicenseStateTypeSpecialty
82-19WIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1083585749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CHURCH AVE",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "544578222",
            "telephone_number": "715-424-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 HILL ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945202",
            "telephone_number": "715-424-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Angelus Dr",
            "address_purpose": "LOCATION",
            "city": "Nekoosa",
            "state": "WI",
            "postal_code": "544571617",
            "country_code": "US",
            "telephone_number": "715-886-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARY",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "82-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.