Wendy Diane Retzer, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19288 Issued in CA

Practice address

533 2ND St
Encinitas, CA 92024-3558

Phone

(800) 931-5769

Fax

(888) 773-3272

NPI assigned

Mar 2, 2011

Last updated

Mar 2, 2011By 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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• In-Home Physical Therapy PC

  • Multi-Specialty Clinic/Center
  • Encinitas, CA
  • NPI 1588800874
  Medicare reassignment NPD

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1780982652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 NAUTICAL DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083377",
            "telephone_number": "760-730-3752",
            "fax_number": "866-852-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243558",
            "telephone_number": "800-931-5769",
            "fax_number": "888-773-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZER",
        "first_name": "WENDY",
        "middle_name": "DIANE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecily A Resnick, PHD
• Restore Family Therapy, Inc.
• Katalin Reszegi, PHD, LP
• Retina Institute of California Medical Group, a California Medical Par
• Retina San Diego
• Marla Flores Reves, MFT
• Revivership
• Peggy Ann Reynolds, IBCLC
• Victoria Lee Reynolds, FNP
• Jim Sung Ho Rhee, D.D.S.

• Physical Therapist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.