Wanda Grazyna Walasek

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

L1667975 Issued in MI

Practice address

8380 Geddes Rd
Ypsilanti, MI 48198-9404

Phone

(734) 547-7632

NPI assigned

Jul 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1871807008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4988 SYCAMORE DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976107",
            "telephone_number": "734-557-3259",
            "fax_number": "734-557-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 GEDDES RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989404",
            "telephone_number": "734-547-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALASEK",
        "first_name": "WANDA",
        "middle_name": "GRAZYNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "L1667975",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.002393",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005295-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W.J.B., M.D., P.C.
• Lisa D Waddell, AUD
• Simran Wadhwa, DO
• Heather Nicole Wahl, MD
• Wal-Mart Stores East, LP
• Stacy B Walden
• Madison Waldroop
• Walgreen Co
• Walgreen Co
• Abiola A Walker

• Physical Therapy Assistant in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.