Ashlee Wennmacher, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160004413 Issued in IL

Practice address

4343 Kennedy Dr
East Moline, IL 61244-4203

Phone

(309) 796-6600

NPI assigned

May 21, 2018

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1700377272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 KENNEDY DR",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 KENNEDY DR",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444203",
            "telephone_number": "309-796-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNMACHER",
        "first_name": "ASHLEE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160004413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Komla Jean-Claude Weka
• Wells Chiropractic Inc
• Tobijas Wells, D.C.
• Beth Ellen Welveart, RPH
• Grace Welveart
• Hannah Wheeler
• Isabella Wheeler
• Wieland Orthodontics, PLLC
• Abigail Michele Wieland
• Madison Wies, RBT

• Physical Therapy Assistant in East Moline, IL
• Providers in East Moline, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.