Individual provider Active NPI

Wendy Benwell, PT

  • Physical Therapist
  • La Jolla, CA
National Provider Identifier
1861674640
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34263 Issued in CA
Practice address
737 Pearl St
Suite 108
La Jolla, CA 92037-0056
Phone
(858) 456-2114
Fax
(858) 456-2103
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 34263 CA Primary

Addresses

Primary practice location

737 Pearl St
Suite 108
La Jolla, CA 92037-0056

Mailing address

737 Pearl St
Suite 108
La Jolla, CA 92037-0056
Phone (858) 456-2114

Other names 1

  • Wendy Wilkins Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34263CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Rehabilitation Specialists Physical Therapist Past Accepting new patients
Advent Physical Therapy Group, PC PastSince Jan 1, 2014 Accepting new patients
Hom Medical Group Inc Past Accepting new patients
Bryan Schmidt Physical Therapy, Inc Physical Therapist PastSince Jun 1, 2006 Accepting new patients
Kathleen J. Grace RPT Apc Physical Therapist PastSince May 12, 2017 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1861674640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 PEARL ST",
            "address_2": "SUITE 108",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370056",
            "telephone_number": "858-456-2114",
            "fax_number": "858-456-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 PEARL ST",
            "address_2": "SUITE 108",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370056",
            "telephone_number": "858-456-2114",
            "fax_number": "858-456-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENWELL",
        "first_name": "WENDY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "WILKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.