Active NPI
Katherine Wenger, DPT
- Physical Therapist
- Middleburg, FL
National Provider Identifier
1154791614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28520
- Practice address
- 2580-3 Country Road 220
Suite 3
Middleburg, FL 32068 - Phone
- (855) 242-6608
- Fax
- (855) 242-6609
- NPI assigned
- Sep 28, 2015
- 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 | 28520 | FL | Primary |
Addresses
Primary practice location
2580-3 Country Road 220
Suite 3
Middleburg, FL 32068
Mailing address
1231 Plover Ave
Miami Springs, FL 33166-4352
Phone (855) 242-6608
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 |
|---|---|---|---|
| 28520 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1154791614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 PLOVER AVE",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331664352",
"telephone_number": "855-242-6608",
"fax_number": "855-242-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580-3 COUNTRY ROAD 220",
"address_2": "SUITE 3",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "32068",
"telephone_number": "855-242-6608",
"fax_number": "855-242-6609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGER",
"first_name": "KATHERINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-28",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "28520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.