Individual provider Active NPI

Wendy Renee McNall, PT

  • Physical Therapist
  • Oregon, WI
National Provider Identifier
1427221928
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6455-024 Issued in WI
Practice address
990 Janesville St
Oregon, WI 53575-2954
Phone
(608) 835-5373
Fax
(608) 835-0373
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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 6455-024 WI Primary

Addresses

Primary practice location

990 Janesville St
Oregon, WI 53575-2954

Mailing address

990 Janesville St
Oregon, WI 53575-2954
Phone (608) 835-5373

Other identifiers 1

IdentifierTypeStateIssuer
40335200MedicaidWI

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6455-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stoughton Hospital Association Past Accepting new patients
Stoughton Hospital Association Past Accepting new patients

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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1427221928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 JANESVILLE ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535752954",
            "telephone_number": "608-835-5373",
            "fax_number": "608-835-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 JANESVILLE ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535752954",
            "telephone_number": "608-835-5373",
            "fax_number": "608-835-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALL",
        "first_name": "WENDY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6455-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40335200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.