Active NPI
Jeanne Marie Wontkowski, PT
- Physical Therapist
- Sparks, NV
National Provider Identifier
1891269783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1422
- Practice address
- 2385 E Prater Way Ste 301
Sparks, NV 89434-9638 - Phone
- (775) 356-4960
- Fax
- (775) 356-4536
- NPI assigned
- Jan 14, 2019
- Last updated
- Jan 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1422 | NV | Primary |
Addresses
Primary practice location
2385 E Prater Way Ste 301
Sparks, NV 89434-9638
Mailing address
7855 Plum Tree CT
Reno, NV 89523-4302
Phone (775) 636-1873
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1422 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparks Family Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ER at North Valleys an Extension of Northern Nevada Medical Center
- Emergency Care Clinic/Center
- Reno, NV
- NPI 1366232993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1891269783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7855 PLUM TREE CT",
"city": "RENO",
"state": "NV",
"postal_code": "895234302",
"telephone_number": "775-636-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 E PRATER WAY STE 301",
"city": "SPARKS",
"state": "NV",
"postal_code": "894349638",
"telephone_number": "775-356-4960",
"fax_number": "775-356-4536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONTKOWSKI",
"first_name": "JEANNE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.