Individual provider Active NPI

Nicholas Wendel, PT

  • Neurology Physical Therapist
  • Boston, MA
National Provider Identifier
1528732625
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
21960 Issued in MA
Practice address
635 Commonwealth Ave
Boston, MA 02215-1605
Phone
(617) 358-3700
Fax
(866) 818-0863
NPI assigned
Aug 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 21960 MA Primary

Addresses

Primary practice location

635 Commonwealth Ave
Boston, MA 02215-1605

Mailing address

915 Commonwealth Ave Rear
Boston, MA 02215-1394
Phone (617) 358-3700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
21960MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Boston University CurrentSince Aug 12, 2021 Accepting new patients
Trustees of Boston University CurrentSince Aug 12, 2021 Accepting new patients

Locations

915 Commonwealth Ave
Boston, MA 02215
Phone (617) 358-3400

915 Commonwealth Ave
Rear
Boston, MA 02215
Phone (617) 358-3400

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1528732625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 COMMONWEALTH AVE REAR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151394",
            "telephone_number": "617-358-3700",
            "fax_number": "866-818-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151605",
            "telephone_number": "617-358-3700",
            "fax_number": "866-818-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "NICHOLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MA",
            "license": "21960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.