Individual provider Active NPI

Patrick Bartholomew Wenning, MPT

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1700913092
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19693 Issued in MD
Practice address
5410 Edson LN
Suite 350
Rockville, MD 20852-3107
Phone
(301) 881-9313
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 026757-1 NY
Physical Therapist 225100000X 19693 MD Primary

Addresses

Primary practice location

5410 Edson LN
Suite 350
Rockville, MD 20852-3107

Mailing address

3450 Toledo Ter
Apt 516
Hyattsville, MD 20782-1397
Phone (646) 712-2064

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
19693MDMDPhysical Therapist
026757-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wenning Physical Therapy PastSince Jan 1, 1990 Accepting new patients
Edward S. Crane, M.D., P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1700913092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 TOLEDO TER",
            "address_2": "APT 516",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821397",
            "telephone_number": "646-712-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 EDSON LN",
            "address_2": "SUITE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523107",
            "telephone_number": "301-881-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNING",
        "first_name": "PATRICK",
        "middle_name": "BARTHOLOMEW",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026757-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.