Wynne Venard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12193 Issued in WI

Practice address

7300 Washington Ave
Ste B
Mount Pleasant, WI 53406-6525

Phone

(262) 321-6000

NPI assigned

Jul 17, 2013

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

• Wynne Rodman Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One to One Physical Therapy PLLCGroup PAC ID 1052201621, 5 clinicians

Practice addresses (Care Compare)

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.

• One to One Physical Therapy PLLC

  • Physical Therapist
  • Tacoma, WA
  • NPI 1760562995
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1669813788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 WASHINGTON AVE",
            "address_2": "STE B",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534066525",
            "telephone_number": "262-321-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 WASHINGTON AVE",
            "address_2": "STE B",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534066525",
            "telephone_number": "262-321-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENARD",
        "first_name": "WYNNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WYNNE",
            "last_name": "RODMAN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Fumo Vanderhoef
• Natasha N Vandervere, RN
• Janet Vannatta
• Barbara Vanpatten, RN, CDE
• Amelia Vazquez
• Alexis Marie Ventura, DNP, CRNA
• Tia Vernon, M.D.
• Sheldon Vielie, RPH
• Viet Vignieri, PA-C
• Eliot Vildaver, DMD

• Physical Therapist in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.