Active NPI
Frederick Wendler, PT
- Physical Therapist
- Springfield, IL
National Provider Identifier
1316255102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 701 N Walnut St
Springfield, IL 62702-4931 - Phone
- (217) 747-7646
- NPI assigned
- Sep 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
701 N Walnut St
Springfield, IL 62702-4931
Mailing address
2613 Killarney Rd
Springfield, IL 62711-6800
Phone (217) 483-6848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359849600000",
"number": "1316255102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2613 KILLARNEY RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627116800",
"telephone_number": "217-483-6848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N WALNUT ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024931",
"telephone_number": "217-747-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDLER",
"first_name": "FREDERICK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-15",
"last_updated": "2013-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.