Angel Renea Wolfenbarger

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3558 Issued in TN

Practice address

10133 Sherrill Blvd
Knoxville, TN 37932-3347

Phone

(865) 531-2204

NPI assigned

Jan 11, 2019

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

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1821562976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HERMITAGE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205850",
            "telephone_number": "865-607-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 SHERRILL BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323347",
            "telephone_number": "865-531-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFENBARGER",
        "first_name": "ANGEL",
        "middle_name": "RENEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Chamberlain Wolfe, CPNP
• Laura Victoria Wolfe, MS, ASSOCIATE LMFT
• Lynlee Marie Wolfe, M.D.
• Melissa Nicole Wolfe, CCC-SLP
• Rosemary Ann Wolfe
• Ashlie Elizabeth Wolfenbarger
• James Patrick Wolfenbarger, FNP
• Rebekha Lynn Wolfenbarger, CNA
• Madeleine Wolfenberger
• William R Wolff, CRNA

• Physical Therapy Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.