Active NPI
Abigail Wenzlick, MS CCC-SLP
- Speech-Language Pathologist
- Van Wert, OH
National Provider Identifier
1215656475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.14403
- Practice address
- 15945 Middle Point Rd
Van Wert, OH 45891-9769 - Phone
- (419) 968-2351
- NPI assigned
- Aug 23, 2022
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.14403 | OH | Primary |
Addresses
Primary practice location
15945 Middle Point Rd
Van Wert, OH 45891-9769
Mailing address
501 W Townline St
Payne, OH 45880-9361
Phone (419) 263-2512
Other practice location 1
501 W Townline St
Payne, OH 45880-9361
Phone (419) 263-2512 ext. 427
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wenzlicka@waynetrace.org | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.14403 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1215656475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W TOWNLINE ST",
"city": "PAYNE",
"state": "OH",
"postal_code": "458809361",
"telephone_number": "419-263-2512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15945 MIDDLE POINT RD",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458919769",
"telephone_number": "419-968-2351"
}
],
"practiceLocations": [
{
"address_1": "501 W Townline St",
"address_purpose": "LOCATION",
"city": "Payne",
"state": "OH",
"postal_code": "458809361",
"country_code": "US",
"telephone_number": "419-263-2512 x427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENZLICK",
"first_name": "ABIGAIL",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.14403",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wenzlicka@waynetrace.org",
"affiliation": "N",
"endpointDescription": "School Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "501 W Townline St",
"city": "Payne",
"state": "OH",
"country_code": "US",
"postal_code": "458809361",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.