Jamie Anne Wendorski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10378024 Issued in WI

Practice address

1405 Kenwood Dr Ste B
Wausau, WI 54401-2949

Phone

(715) 841-0002

Fax

(715) 841-0003

NPI assigned

Jul 25, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73823

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.

• Orthopaedic Centers of Wisconsin S C

  • Physical Therapist
  • Wausau, WI
  • NPI 1144844606
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1225051055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 KENWOOD DR STE B",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 KENWOOD DR STE B",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012949",
            "telephone_number": "715-841-0002",
            "fax_number": "715-841-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDORSKI",
        "first_name": "JAMIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10378024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36100600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "10378024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Way Wausau
• Wellness Way Wausau LLC
• Kristin G Weltzin, M.S. CCC-SLP
• Melissa J Wendell, FNPC
• Mary Jo Wendling, MD
• Bruce Edward Wendt, LPC, LCSW
• Elizabeth O Wendt, FNP
• Michelle L Wendt, RN
• Stewart Michael Wente, MD
• Breanna T Wentland, PA

• Physical Therapist in Wausau, WI
• Providers in Wausau, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.