Active NPI
Tracy Wehrman, EPC, CSCS
- Clinical Exercise Physiologist
- Wichita, KS
National Provider Identifier
1811595242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.