Individual provider Active NPI

Samuel Lee Wernberg, DPT

  • Physical Therapist
  • Madison, WI
National Provider Identifier
1316348907
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12885 Issued in WI
Practice address
1202 Frisch Rd
Madison, WI 53711-3122
Phone
(608) 561-9769
NPI assigned
Sep 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 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 12885 WI Primary

Addresses

Primary practice location

1202 Frisch Rd
Madison, WI 53711-3122

Mailing address

1202 Frisch Rd
Madison, WI 53711-3122
Phone (608) 561-9769

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12885WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deliver Therapy and Rehabilitation, LLC Physical Therapist CurrentSince Jul 5, 2017 Accepting new patients
Meriter Hospital, Inc. Past Accepting new patients

Locations

6666 Odana Rd
Madison, WI 53719
Phone (608) 556-3813

2529 Allen Blvd
Middleton, WI 53562
Phone (608) 267-6000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1316348907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 FRISCH RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113122",
            "telephone_number": "608-561-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 FRISCH RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113122",
            "telephone_number": "608-561-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNBERG",
        "first_name": "SAMUEL",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.