Individual provider Active NPI

Andrew Wankier, PT, DPT

  • Physical Therapist
  • Delta, UT
National Provider Identifier
1235634569
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10516537-2401 Issued in UT
Practice address
95 White Sage Ave Ste C
Delta, UT 84624-5555
Phone
(435) 864-2551
NPI assigned
Mar 28, 2018
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10516537-2401 UT Primary

Addresses

Primary practice location

95 White Sage Ave Ste C
Delta, UT 84624-5555

Mailing address

142 S 1300 E
Spanish Fork, UT 84660-2384
Phone (435) 406-6103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181027000036 UT Practitioner - Physical Therapist in Private Practice 7315290053 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Delta Physical Therapy and Sports Medicine PC Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Delta Physical Therapy and Sports Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients

Locations

95 White Sage Ave
Delta, UT 84624
Phone (435) 864-2551

95 White Sage Ave
Ste C
Delta, UT 84624
Phone (435) 864-2251

674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1235634569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S 1300 E",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602384",
            "telephone_number": "435-406-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WHITE SAGE AVE STE C",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846245555",
            "telephone_number": "435-864-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANKIER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "10516537-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.