Jack Reginald Wendelberger-Dyer

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

127807 Issued in IA

Practice address

1514 High Ave W
Oskaloosa, IA 52577-1944

Phone

(641) 673-7032

NPI assigned

May 11, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blue Stone Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Urbandale, IA
  • NPI 1932797297

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1700714664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E 28TH ST S",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502082712",
            "telephone_number": "414-881-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 HIGH AVE W",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525771944",
            "telephone_number": "641-673-7032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 100th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503223874",
            "country_code": "US",
            "telephone_number": "515-225-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDELBERGER-DYER",
        "first_name": "JACK",
        "middle_name": "REGINALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "127807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc.
• Molly J Walker, O.D.
• Mollie Waller, DO
• Walmart Inc.
• Kara Lynn Weishaar, D.D.S.
• White Oak Estates Inc
• Ashley Marie White, DPT
• Joseph Charles Whitehead, D.C.
• Anne K Whitis, M.D.
• Matthew G Whitis, MD

• Occupational Therapist in Oskaloosa, IA
• Providers in Oskaloosa, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.