James Wundrak

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008626 Issued in KY

Practice address

127 Clay Dr
Berea, KY 40403-1349

Phone

(859) 756-3281

Fax

(859) 756-3640

NPI assigned

Oct 8, 2025

Sex

Male

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

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Commonwealth Hand Therapy

  • Occupational Therapist
  • Lexington, KY
  • NPI 1962855254

  Physical Therapist

  Medicare reassignment NPD
• Commonwealth Hand Therapy

  • Customized Equipment (DME)
  • Frankfort, KY
  • NPI 1033905724

  Physical Therapist

  NPD

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1538034707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "726-202-3039",
            "fax_number": "210-978-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CLAY DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031349",
            "telephone_number": "859-756-3281",
            "fax_number": "859-756-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDRAK",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Ann Wilson, M.ED., LPCA
• Victoria Wilson, CD(DONA)
• Susan Witt
• Paul H L Wong, DMD
• Jessica Fay Woosley, MFT-A
• Yonder Behavioral Health
• Lori Ann Zastrow
• Mia Jeanette Zetter
• Anita Zlamal

• Physical Therapist in Berea, KY
• Providers in Berea, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.