Individual provider Active NPI

Tracy Wehrman, EPC, CSCS

  • Clinical Exercise Physiologist
  • Wichita, KS
National Provider Identifier
1811595242
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
307
Practice address
7015 E Central Ave Ste 3
Wichita, KS 67206-1943
Phone
(316) 393-2176
NPI assigned
Oct 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X 307 Primary

Addresses

Primary practice location

7015 E Central Ave Ste 3
Wichita, KS 67206-1943

Mailing address

10601 E Quail Creek Cir
Derby, KS 67037-8373
Phone (316) 393-2176

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1811595242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 E QUAIL CREEK CIR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670378373",
            "telephone_number": "316-393-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 E CENTRAL AVE STE 3",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061943",
            "telephone_number": "316-393-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHRMAN",
        "first_name": "TRACY",
        "name_prefix": "Mr.",
        "credential": "EPC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": "307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.