Kristen Elizabeth Green Wendland, PT, DPT, ATC, CWT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4333 Issued in ME

Practice address

22 Bramhall St
Portland, ME 04102-3175

Phone

(207) 662-6079

NPI assigned

Feb 17, 2021

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 names 1

• Kristen Elizabeth Green Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1457944787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 OLD FORGE RD",
            "city": "RIVERTON",
            "state": "CT",
            "postal_code": "060651216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023175",
            "telephone_number": "207-662-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDLAND",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH GREEN",
        "credential": "PT, DPT, ATC, CWT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "GREEN",
            "middle_name": "ELIZABETH",
            "credential": "PT, DPT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory G. Weltin, M.D.
• Megan Wenckus, LCSW
• Suzanne Wendelken, MD, PHD
• Barbara A Wendell, P.T.
• Lauren T Wendell, M.D.
• Lauren Wendland
• Justin Dixon Wendler, PMHNP
• Wendy Lewis LCSW PC
• Wendy Pollock
• Frank Weng

• Physical Therapist in Portland, ME
• Providers in Portland, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.