Wendy Rae Walker, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003412 Issued in WA

Practice address

981 Powell Ave SW Ste 130
Renton, WA 98057-2990

Phone

(425) 228-5996

Fax

(425) 271-2310

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Wendy Rae Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Margaret Vanderwaerden PT PLLC

  • Physical Therapist
  • Woodinville, WA
  • NPI 1962440982
  NPD (past)
• New Motion Physical Therapy, Inc., PS

  • Physical Therapist
  • Bainbridge Island, WA
  • NPI 1578518668
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352592000000",
    "number": "1568417632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 SE 167TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585315",
            "telephone_number": "425-228-5996",
            "fax_number": "425-271-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 POWELL AVE SW STE 130",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572990",
            "telephone_number": "425-228-5996",
            "fax_number": "425-271-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WENDY",
        "middle_name": "RAE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "0169622",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/LEXINGTON, KY",
            "identifier": "4510166",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "5691WA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KPS HEALTH PLANS",
            "identifier": "810588134-10",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "SMITH",
            "middle_name": "RAE",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sukhvir Walia, DNP ARNP
• Malia Lauren Walker, DPT
• Mark Barrett Walker, M.D.
• Sherman Walker, MA-PC
• Thomas Franklin Walker, AT EMT
• Johanne B Wall
• Richard J Wall, MD
• Anna Wallace
• Diana Wallace, OT
• Teresa L Wallace, MD

• Physical Therapist in Renton, WA
• Providers in Renton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2012; 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.