Jennifer Wesley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

420 Stillmeadow Rd
Coupeville, WA 98239-9723

Phone

(360) 969-2349

NPI assigned

May 31, 2020

Last updated

May 31, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fusion Physical Therapy and Wellness PLLCGroup PAC ID 1759614308, 2 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fusion Physical Therapy and Wellness, PLLC

  • Physical Therapist
  • Coupeville, WA
  • NPI 1730653403
  Medicare reassignment Care Compare group NPD
• Harada Physical Therapy & Rehab Services Inc., P.S.

  dba Harada Physical Therapy

  • Physical Therapist
  • Oak Harbor, WA
  • NPI 1629066717
  NPD (past)

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

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1679197289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 CRESCENT DR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982778612",
            "telephone_number": "360-969-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 STILLMEADOW RD",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982399723",
            "telephone_number": "360-969-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-31",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "1206 Crescent Dr",
            "city": "Oak Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982778612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susann Kristin Wadsworth, MA60036649
• Richard Wagner, M.D.
• Danhua K Wallace, ARNP
• Tracey Marie Wenthin, CG
• Joseph Mark Werner, MD
• Sarah Wheeler
• Whidbey Eye Center PLLC
• Whidbey General Hospital - Navy Resource Sharing
• Whidbey General Surgery
• Whidbey Island EMS LLC

• Physical Therapist in Coupeville, WA
• Providers in Coupeville, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; 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.