Individual provider Active NPI

Wanda White Nee, PT

  • Physical Therapist
  • Cape Coral, FL
National Provider Identifier
1245316843
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28067 Issued in FL
Practice address
1722 SW 10TH Ave
Cape Coral, FL 33991-3316
Phone
(815) 341-5979
NPI assigned
Oct 27, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT28067 FL Primary
Physical Therapist 225100000X 070011646 IL

Addresses

Primary practice location

1722 SW 10TH Ave
Cape Coral, FL 33991-3316

Mailing address

1722 SW 10TH Ave
Cape Coral, FL 33991-3316
Phone (815) 341-5979

Other identifiers 3

IdentifierTypeStateIssuer
3232028OtherILBLUE CROSS BLUE SHIELD
P00390229OtherILRAILROAD MEDICARE PTAN
DF7483OtherILRAILROAD MEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130606000836 FL Practitioner - Physical Therapist in Private Practice 1658353289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT28067FLMDPhysical Therapist
070011646ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tac II LLC Current Accepting new patients
Physicians Primary Care of Southwest Florida PL Past Accepting new patients
Ther-a-Care Rehabilitation LTD Physical Therapist PastSince Feb 17, 2004 Accepting new patients

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1245316843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SW 10TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913316",
            "telephone_number": "815-341-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SW 10TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913316",
            "telephone_number": "815-341-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE NEE",
        "first_name": "WANDA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-09-29",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28067",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3232028",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00390229",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NUMBER",
            "identifier": "DF7483",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.