Individual provider Active NPI

Jennifer N. Wunderlich, DPT

  • Physical Therapist
  • Hebron, KY
National Provider Identifier
1285769877
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007035 Issued in KY
Practice address
2010 N Bend Rd Ste 600
Hebron, KY 41048-8003
Phone
(859) 594-5220
NPI assigned
Feb 22, 2007
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 007035 KY Primary

Addresses

Primary practice location

2010 N Bend Rd Ste 600
Hebron, KY 41048-8003

Mailing address

2010 N Bend Rd Ste 600
Hebron, KY 41048-8003
Phone (859) 594-5220

Other names 1

  • Jennifer N. Brauer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914001846 KY Practitioner - Physical Therapist in Private Practice 0446614085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007035KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Rehabilitation Services Inc CurrentSince Jul 14, 2023 Accepting new patients
Kentucky Rehabilitation Services Inc Physical Therapist CurrentSince Jul 14, 2023 Accepting new patients

Locations

68 Cavalier Blvd
Ste 1700
Florence, KY 41042
Phone (859) 283-0707

2010 N Bend Rd
Ste 600
Hebron, KY 41048
Phone (859) 594-5220

Organizations & group practices 2

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1285769877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N BEND RD STE 600",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488003",
            "telephone_number": "859-594-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N BEND RD STE 600",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488003",
            "telephone_number": "859-594-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDERLICH",
        "first_name": "JENNIFER",
        "middle_name": "N.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRAUER",
            "middle_name": "N.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hebron, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.