Janet Lee Wakeman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502001548 Issued in MI

Practice address

304 W Wackerly St
Midland, MI 48640-7264

Phone

(989) 834-4220

Fax

(989) 832-4207

NPI assigned

Aug 30, 2018

Last updated

Sep 29, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1124500806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407264",
            "telephone_number": "989-834-4220",
            "fax_number": "989-832-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407264",
            "telephone_number": "989-834-4220",
            "fax_number": "989-832-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEMAN",
        "first_name": "JANET",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502001548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Ann Waddle, D.O.
• Della Wade, MSW
• Kenton Wadsworth, DACM, LAC
• Andrew Standish Wagner, MD
• Autum T Wainwright
• Kayla G Wakeman, M.A., CF-SLP
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2619)
• Wal-Mart Stores East, LP (Vision Center 30-2619)
• Marylou Michelle Walburn, LMSW
• Jacob E Waldron, D.O.

• Physical Therapy Assistant in Midland, MI
• Providers in Midland, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.