Individual provider Active NPI

Karla Ruth Wente, PT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1285075044
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2013029949 Issued in MO
Practice address
4444 Forest Park Ave
Ste 1210
Saint Louis, MO 63108-2212
Phone
(314) 286-1940
Fax
(314) 286-1473
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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 2013029949 MO Primary

Addresses

Primary practice location

4444 Forest Park Ave
Ste 1210
Saint Louis, MO 63108-2212

Mailing address

709 N 5TH Ave
C B 8052
Maywood, IL 60153-1033
Phone (708) 983-5149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141230000772 IL Practitioner - Physical Therapist in Private Practice 3678708179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Northwest Wellness Group LLCGroup PAC ID 8921324716, 7 clinicians

Practice addresses (Care Compare)

1614 W Central Rd
Suite 200
Arlington Heights, IL 60005-2453
Phone (847) 481-6077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Wellness Group LLC CurrentSince Jun 29, 2020 Accepting new patients

Locations

1614 W Central Rd
Ste 200
Arlington Hts, IL 60005
Phone (847) 481-6077

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1285075044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N 5TH AVE",
            "address_2": "C B 8052",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531033",
            "telephone_number": "708-983-5149",
            "fax_number": "708-983-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 FOREST PARK AVE",
            "address_2": "STE 1210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082212",
            "telephone_number": "314-286-1940",
            "fax_number": "314-286-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTE",
        "first_name": "KARLA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013029949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.