Wendy K Dwyer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA07499 Issued in NJ

Practice address

903 US Highway 202
Raritan, NJ 08869-1419

Phone

(908) 725-1144

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336211788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 US HIGHWAY 202",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691419",
            "telephone_number": "908-725-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 US HIGHWAY 202",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691419",
            "telephone_number": "908-725-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "WENDY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA07499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET NUMBER",
            "identifier": "222386098",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NUMBER",
            "identifier": "3530214",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD NUMBER",
            "identifier": "222386098",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "114251300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Domingo, PA-C
• Douglas M Masi DMD LLC
• David Dragani, BCBA
• Drug Fair Group, Inc
• Teresa Duchesneau, LCSW
• Vincent J. Eletto, MD
• Christina Entrup, APRN
• Abigail Ettinger, D.O.
• Extended Optimum Medical Services LLC
• Kristina Woung Fallon, MA, LPC, NCC

• Physical Therapist in Raritan, NJ
• Providers in Raritan, 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 8, 2007; 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.