Active NPI
Wendy Althea Wells, MSPT
- Physical Therapist
- North Creek, NY
National Provider Identifier
1114048436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022118
- Practice address
- 112 Ski Bowl Road
North Creek, NY 12853-0500 - Phone
- (518) 251-2447
- Fax
- (518) 251-4207
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 022118 | NY | Primary |
Addresses
Primary practice location
112 Ski Bowl Road
North Creek, NY 12853-0500
Mailing address
PO Box 500
North Creek, NY 12853-0500
Phone (518) 251-2447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00308943 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 022118 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114048436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500",
"city": "NORTH CREEK",
"state": "NY",
"postal_code": "128530500",
"telephone_number": "518-251-2447",
"fax_number": "518-251-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SKI BOWL ROAD",
"city": "NORTH CREEK",
"state": "NY",
"postal_code": "128530500",
"telephone_number": "518-251-2447",
"fax_number": "518-251-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "WENDY",
"middle_name": "ALTHEA",
"name_prefix": "Ms.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00308943",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Creek, NY
Sources for this page
- 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.