Kristian Lynne Wendel, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01925800 Issued in NJ

Practice address

500 Southern Blvd
Chatham, NJ 07928-1407

Phone

(973) 966-5483

NPI assigned

May 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1245768605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CONNECTICUT ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901714",
            "telephone_number": "908-232-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTHERN BLVD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281407",
            "telephone_number": "973-966-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "KRISTIAN",
        "middle_name": "LYNNE",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00335600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01925800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ann Volkman, FNP-BC
• Stephanie Warm, LCSW
• Leah Marie Watson, PSYD
• Christopher Ross Wawrzyniak, D.C.
• Carol Weiss, RN P
• Robert G Whitney
• William R. Nadel, M.D., PA
• Wendy Winograd, LCSW
• Laura Lynne Winters, LCSW
• Sarah Wise, NP

• Physical Therapist in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.