Wendi Sue Waldorf

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT3220 Issued in CA

Practice address

1717 S Main St
Milpitas, CA 95035-6756

Phone

(408) 957-5700

NPI assigned

Oct 17, 2006

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

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194806372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 HUBBARD AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515835",
            "telephone_number": "408-261-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356756",
            "telephone_number": "408-957-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDORF",
        "first_name": "WENDI",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT3220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hisha Thuy Vuong
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• Pashmina Wajahat, AMFT
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• Walgreen Co
• Walgreen Co
• Walmart Inc.
• Walter R. Kosich D.D.S. Inc.
• Crystal Wang, DPT

• Physical Therapy Assistant in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Physical Therapy Assistant in California

• 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.