Kevin Lee Wentz, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14957 Issued in CA

Practice address

801 S Raymond Ave
Pasadena, CA 91105-3223

Phone

(626) 356-0599

NPI assigned

Oct 11, 2006

Sex

Male

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

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Injury Physical Therapy IncGroup PAC ID 1658308572, 7 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Sports Injury Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Pasadena, CA
  • NPI 1073603858

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Kevin Wentz Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Yorba Linda, CA
  • NPI 1194815647

  Physical Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861581795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 ROANOAK RD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RAYMOND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053223",
            "telephone_number": "626-356-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellspot Healthcare
• Welman T. Lim, D.P.M., Inc.
• Welman T. Lim, DPM, Inc
• Wendy Chen, Chiropractic, a Professional Corp
• Wendy Shem Yeh, OD
• Wepair Health Foundation
• Jake P Werley, LMFT
• Wes J Powell, MD, Inc
• Caroline Nizze Wesemuller, PHARM.D.
• Bettyjean Weser

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

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.