Wanda Lea Walkowiak, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400003361 Issued in VT

Practice address

30 VT Route 100 S
Wilmington, VT 05363-7944

Phone

(802) 464-3151

Fax

(802) 464-3116

NPI assigned

Aug 7, 2006

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 identifiers 2

Other names 1

• Mrs. Wanda Lea Fraser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Physical Therapy Plus LLC

  • Physical Therapist
  • Wilmington, VT
  • NPI 1740299890
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1659380707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "WILMINGTON",
            "state": "VT",
            "postal_code": "053630716",
            "telephone_number": "802-464-3151",
            "fax_number": "802-464-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 VT ROUTE 100 S",
            "city": "WILMINGTON",
            "state": "VT",
            "postal_code": "053637944",
            "telephone_number": "802-464-3151",
            "fax_number": "802-464-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKOWIAK",
        "first_name": "WANDA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400003361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "382118",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00068343",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "FRASER",
            "middle_name": "LEA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert H Tarnas, MD
• Tiffany Sreca DMD PC
• Dagmar Tobits, M.D.
• Kristin Trudeau, M.A, LADC
• Walgreen Co
• Carly Rae Wershoven, RPH
• Windham Southwest Supervisory Union

• Physical Therapist in Wilmington, VT
• Providers in Wilmington, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.