Active NPI
Kimberly Wentz, DPT
- Physical Therapist
- Bethel, CT
National Provider Identifier
1376788927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003657
- Practice address
- 13 Park Lawn Dr
Bethel, CT 06801-1043 - Phone
- (203) 830-4411
- Fax
- (203) 830-4185
- NPI assigned
- Dec 11, 2008
- Sex
- Female
- 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 | 003657 | CT | Primary |
Addresses
Primary practice location
13 Park Lawn Dr
Bethel, CT 06801-1043
Mailing address
23-1 Macintosh Dr
Oxford, CT 06478-3204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075400 | Other | CT | FACILITY MEDICARE NUMBER- BETHEL HEALTH CARE CENTER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Visiting Nurse & Home Health Care Agency, LLC | Past | Accepting new patients |
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.
-
- Home Health Agency
- Stratford, CT
- NPI 1215963822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1376788927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23-1 MACINTOSH DR",
"city": "OXFORD",
"state": "CT",
"postal_code": "064783204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 PARK LAWN DR",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011043",
"telephone_number": "203-830-4411",
"fax_number": "203-830-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTZ",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "003657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY MEDICARE NUMBER- BETHEL HEALTH CARE CENTER",
"identifier": "075400",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.