Individual provider Active NPI

Wendelyn Javier Habac, PT, WCC, DCC

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1669285243
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2988 Issued in NV
Practice address
10316 Achilpa St
Las Vegas, NV 89178-8029
Phone
(252) 646-9020
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2988 NV Primary

Addresses

Primary practice location

10316 Achilpa St
Las Vegas, NV 89178-8029

Mailing address

10316 Achilpa St
Las Vegas, NV 89178-8029
Phone (252) 646-9020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422003152 NV Practitioner - Physical Therapist in Private Practice 5698290633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Touch Wound Specialists LLCGroup PAC ID 8729501838, 5 clinicians

Practice addresses (Care Compare)

6208 Dartle St
Las Vegas, NV 89130-1376
Phone (702) 821-5725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2988NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Touch Wound Specialists LLC CurrentSince Jan 26, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1669285243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 ACHILPA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891788029",
            "telephone_number": "252-646-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316 ACHILPA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891788029",
            "telephone_number": "252-646-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABAC",
        "first_name": "WENDELYN",
        "middle_name": "JAVIER",
        "credential": "PT, WCC, DCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.