Nicole Wenzel, PT, DPT, OTR/L

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

153 Brooklawn St Ste 153
Farragut, TN 37934-2875

Phone

(865) 412-2347

NPI assigned

Feb 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Nicole Maxwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Athletic and Therapeutic Institute of Naperville LLC

  • Physical Therapist
  • Aurora, IL
  • NPI 1023129681
  NPD
• Athletic and Therapeutic Institute of Naperville, LLC

  • Physical Therapist
  • New Lenox, IL
  • NPI 1114003365
  NPD
• Summit Physical Therapy

  • Physical Therapist
  • Hixson, TN
  • NPI 1225514110
  NPD (past)

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1629438353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 MARKET ST STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374024465",
            "telephone_number": "423-842-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BROOKLAWN ST STE 153",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379342875",
            "telephone_number": "865-412-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "NICOLE",
        "credential": "PT, DPT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022119",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.011384",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MAXWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Lawrence Wallace Jr.
• Ashton Watkins
• Anna Catherine Wattenbarger, PHARM.D.
• Courtney Brianne Weaver, PHARMD
• Stephanie Davidson Welch, OTR/L
• William Brewer Enterprises
• Anna Maria Williams, CERTHAIRLOSSSPECIAL
• April Williams, PHARMD
• Jessica Nicole Wilson, PHARM.D.
• Jacob Winkelman, PT

• Physical Therapist in Farragut, TN
• Providers in Farragut, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.