Derek Wenzel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006301 Issued in CT

Practice address

101 North Plains Industrial Road
Suite 100
Wallingford, CT 06492

Phone

(203) 265-0018

Fax

(203) 265-4368

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

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)

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.

• Premier Physical Therapy

  • Physical Therapist
  • Rocky Hill, CT
  • NPI 1295838688
  NPD (past) Authorized official
• Wilton Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Wilton, CT
  • NPI 1336225036
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144306325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "address_2": "101 NORTH PLAINS INDUSTRIAL ROAD SUITE 100",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-265-0018",
            "fax_number": "203-265-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NORTH PLAINS INDUSTRIAL ROAD",
            "address_2": "SUITE 100",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-265-0018",
            "fax_number": "203-265-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "DEREK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Weicht, LCSW
• Richard Barry Wein, MD
• Laurence Weiss, M.D.
• Franklin Wendt, APRN
• Reagan Wentzell
• Sarah West, RDN
• Melissa Beth Westcott, OTR/L
• Madison Elizabeth Whalen
• David White
• Kathleen D White, RPH

• Physical Therapist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Physical Therapist in Connecticut

• 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.

Verify at the official NPI Registry.