Donald R Walendzak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT06878 Issued in OH

Practice address

2815 Dustin Rd
Oregon, OH 43616

Phone

(419) 693-0676

Fax

(419) 693-0807

NPI assigned

Jul 12, 2006

Last updated

Mar 3, 2011By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Point Rehabilitation LLCGroup PAC ID 3577651223, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Point Rehabilitation LLC

  • Physical Therapist
  • Oregon, OH
  • NPI 1992991574
  Medicare reassignment Care Compare group NPD Authorized official
• Healtherapy Partners Inc

  • Physical Medicine & Rehabilitation Physician
  • Toledo, OH
  • NPI 1568453355

  Physical Therapist

  NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1386679884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 DUSTIN RD STE B",
            "address_2": "STE B",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163497",
            "telephone_number": "419-693-0676",
            "fax_number": "419-693-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 DUSTIN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "43616",
            "telephone_number": "419-693-0676",
            "fax_number": "419-693-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALENDZAK",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT06878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2347508",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000168967",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Irene Buzon Vogel, OTR
• Robbin W Wagener, OD
• Joel Wagner
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5029)
• Wal-Mart Stores East, LP (Vision Center 30-5029)
• Walgreen Co (Walgreens #05906)
• Amy Jo Walker, AGNP
• Paul Walker, MD
• Kori Wargacki
• Kyle Jonathan Weaver, OD

• Physical Therapist in Oregon, OH
• Providers in Oregon, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.