Kendra Lee Wilson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60022088 Issued in WA

Practice address

230 Grant Rd Ste B27
East Wenatchee, WA 98802-7715

Phone

(509) 884-1437

Fax

(509) 884-2811

NPI assigned

Jun 24, 2008

Last updated

Nov 2, 2023By the provider in NPPES

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

Other identifiers 2

Other names 1

• Kendra Lee Shemorry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associates in Physical Therapy, PLLC

  • Physical Therapist
  • East Wenatchee, WA
  • NPI 1114012028
  NPD
• Highline Physical Therapy Group

  dba Highline Therapy Services

  • Physical Therapist
  • Burien, WA
  • NPI 1477797991
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1912168709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GRANT RD",
            "address_2": "SUITE B27",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025383",
            "telephone_number": "509-884-1437",
            "fax_number": "509-884-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GRANT RD STE B27",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988027715",
            "telephone_number": "509-884-1437",
            "fax_number": "509-884-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KENDRA",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60022088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE L&I",
            "identifier": "0368307",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912168709",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "SHEMORRY",
            "middle_name": "LEE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurel Ann White, ED.D. CCC
• Justin Whitman, NP
• Laura A Williams, D.M.D.
• Richard G Williams, MD
• Brendan Charles Wilson, MPT
• Sharon L Wood
• Jenny Shirley Workman
• Christine W Young, PA-C
• Emily Zambrano-Andrews, ARNP
• M Esther Zimmerman, LMP

• Physical Therapist in East Wenatchee, WA
• Providers in East Wenatchee, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.