Robyn Alice Wells-Mangold, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13604 Issued in WI

Practice address

1830 Hanley Rd
Hudson, WI 54016-9368

Phone

(715) 386-1155

Fax

(715) 386-1105

NPI assigned

Mar 12, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Northwestern University Feinberg Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services MN LLCGroup PAC ID 0941542591, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fox Rehabilitation Services MN LLC

  • Physical Therapist
  • Minnetonka, MN
  • NPI 1356802862
  Care Compare group
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • River Falls, WI
  • NPI 1144608589
  NPD (past)

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1407179872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 HANLEY RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169368",
            "telephone_number": "715-386-1155",
            "fax_number": "715-386-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 HANLEY RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169368",
            "telephone_number": "715-386-1155",
            "fax_number": "715-386-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS-MANGOLD",
        "first_name": "ROBYN",
        "middle_name": "ALICE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Jo Wayne, APSW
• Kimberly Lou Webb, PT
• Shelby N Webber, PT, DPT
• William J Weber
• Julia Ann Webster, MST SLP-CCC
• Nathan Weltzin, PT, DPT
• Austin Charles Werdin, DC
• Luke Allen Wernberg, DPT
• Brady Wernlund, D.C.
• Jeana Michele Wescott

• Physical Therapist in Hudson, WI
• Providers in Hudson, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.