Wendy Chantel Moreiko, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

305 Issued in AK

Practice address

6701 W Bondell St
Wasilla, AK 99654

Phone

(907) 357-9755

NPI assigned

Aug 20, 2007

Last updated

Aug 20, 2007By the provider in NPPES

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

• Wendy Chantel Reither Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• First Choice Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Wasilla, AK
  • NPI 1205850674
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1629261029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298658",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99629",
            "telephone_number": "907-357-9755",
            "fax_number": "907-357-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W BONDELL ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-357-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREIKO",
        "first_name": "WENDY",
        "middle_name": "CHANTEL",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "REITHER",
            "middle_name": "CHANTEL",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela S Mooty
• Elizabeth Moran, CNM
• Grant Robert Moravec, PT, DPT
• Sarah Moreau, CLVT, COMS
• Jennifer Leigh Morehouse
• Donald Moreno
• Charles Keith Morey III
• Madison Morgan
• Vanessa Garcia Morgan
• Mary Kathryn Morgheim

• Physical Therapy Assistant in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Physical Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.