Cheerie B Wallenta, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J10003393 Issued in DE

Practice address

114 Sandhill Dr
Suite 103 Ketkay Plaza
Middletown, DE 19709-5805

Phone

(302) 285-0700

Fax

(302) 285-0701

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cheerie Soguilon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1174745152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SANDHILL DR",
            "address_2": "SUITE 103 KETKAY PLAZA",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095805",
            "telephone_number": "302-285-0700",
            "fax_number": "302-285-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENTA",
        "first_name": "CHEERIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10003393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEERIE",
            "last_name": "SOGUILON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Earl Eugene Walker Jr., ED.D., CCHP
• Ladale Renee Walker, R.D
• Tireah Walker
• Janika Inez Wallace, D.O.
• Kendra Wallace, MHA, CD/PCD
• Wanel Healthcare Services
• Norman Alan Wang, D.D.S.
• Anthony Joseph Ward, DC
• Natosha Rashida Warner
• Ashley Watkins

• All providers in Middletown, DE
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.