Wendy Brunette, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

18425 W West Creek Dr
Tinley Park, IL 60477-6767

Phone

(708) 532-1337

Fax

(708) 532-1899

NPI assigned

Mar 30, 2007

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

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790805166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 142ND ST",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604452204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 W WEST CREEK DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776767",
            "telephone_number": "708-532-1337",
            "fax_number": "708-532-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNETTE",
        "first_name": "WENDY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla M Brown
• Chandelier Annette Brown
• Jennifer Brown, M.S. CCC-SLP/L
• Kristyn Brown
• Catrina A Brucato, PA-C
• Jordan Clark Bruni
• Bryan a. Lipson, LTD, PC
• Adele M Bryant, L.C.P.C.
• Kamryn Bucci, RBT
• Alexus Buchanan, LPN

• Physical Therapy Assistant in Tinley Park, IL
• Providers in Tinley Park, 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 Jul 8, 2007; 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.