Active NPI
Wendy A Rader, P.T.
- Physical Therapist
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5687
- Practice address
- 3400 W 66TH St
Suite140
Edina, MN 55435-2111 - Phone
- (952) 345-3000
- NPI assigned
- Aug 14, 2006
- 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 | 5687 | MN | Primary |
Addresses
Primary practice location
3400 W 66TH St
Suite140
Edina, MN 55435-2111
Mailing address
5126 Washburn Ave S
Minneapolis, MN 55410-2252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 874617600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5687 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Dizzy & Balance Center,LTD. | Physical Therapist | Current | Accepting new patients |
Locations
1630 101st Ave NE
Ste 160
Blaine, MN 55449
Phone (763) 786-6900
162 Cobblestone Ln
Burnsville, MN 55337
Phone (952) 345-3000
3400 W 66th St
Ste 140
Edina, MN 55435
Phone (952) 294-4327
4801 W 81st St
Ste 112
Minneapolis, MN 55437
Phone (952) 345-3000
6700 France Ave S
Ste 300
Minneapolis, MN 55435
Phone (952) 345-3000
Interoperability endpoints
- wrader599962@excellian.direct.allina.com
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.
-
- Physical Medicine & Rehabilitation Physician
- Bloomington, MN
- NPI 1023021938
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508879255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5126 WASHBURN AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554102252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 W 66TH ST",
"address_2": "SUITE140",
"city": "EDINA",
"state": "MN",
"postal_code": "554352111",
"telephone_number": "952-345-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADER",
"first_name": "WENDY",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "5687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "874617600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.