Active NPI
Katie Wendroth, DPT
- Physical Therapist
- Paynesville, MN
National Provider Identifier
1760830483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10551
- Practice address
- 29161 Lake Ave
Paynesville, MN 56362-9385 - Phone
- (701) 318-2402
- NPI assigned
- Jun 3, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 10551 | MN | Primary |
Addresses
Primary practice location
29161 Lake Ave
Paynesville, MN 56362-9385
Mailing address
29161 Lake Ave
Paynesville, MN 56362-9385
Phone (701) 318-2402
Other practice location 1
420 Delaware St SE
MMC 106 / Mayo B-454A
Minneapolis, MN 55455-0341
Phone (612) 273-4155
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631318400000",
"number": "1760830483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29161 LAKE AVE",
"city": "PAYNESVILLE",
"state": "MN",
"postal_code": "563629385",
"telephone_number": "701-318-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29161 LAKE AVE",
"city": "PAYNESVILLE",
"state": "MN",
"postal_code": "563629385",
"telephone_number": "701-318-2402"
}
],
"practiceLocations": [
{
"address_1": "420 Delaware St SE",
"address_2": "MMC 106 / Mayo B-454A",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554550341",
"country_code": "US",
"telephone_number": "612-273-4155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENDROTH",
"first_name": "KATIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2021-09-11",
"certification_date": "2021-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paynesville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.