Active NPI
Janell Wyatt
- Neurology Physical Therapist
- The Dalles, OR
National Provider Identifier
1669894275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 00907
- Practice address
- 1700 E 19TH St
MCMC Physical Therapy Dept./ M-Power Rehab
The Dalles, OR 97058-3317 - Phone
- (541) 296-7282
- NPI assigned
- Jan 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 00907 | OR | Primary |
Addresses
Primary practice location
1700 E 19TH St
MCMC Physical Therapy Dept./ M-Power Rehab
The Dalles, OR 97058-3317
Mailing address
PO Box 161
480 NE 4TH Street
Dufur, OR 97021-0161
Phone (541) 604-6094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00907 | OR | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1669894275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 161",
"address_2": "480 NE 4TH STREET",
"city": "DUFUR",
"state": "OR",
"postal_code": "970210161",
"telephone_number": "541-604-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E 19TH ST",
"address_2": "MCMC PHYSICAL THERAPY DEPT./ M-POWER REHAB",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583317",
"telephone_number": "541-296-7282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "JANELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "OR",
"license": "00907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.