Claire M. Wycklendt, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1910-024 Issued in WI

Practice address

8949 N. Deerbrook TR
Horizon Home Care and Hospice Inc
Brown Deer, WI 53223-9714

Phone

(414) 586-6280

NPI assigned

Apr 24, 2008

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 1

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1912172669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 N WOODBURN ST",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111554",
            "telephone_number": "414-962-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8949 N. DEERBROOK TR",
            "address_2": "HORIZON HOME CARE AND HOSPICE INC",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532239714",
            "telephone_number": "414-586-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCKLENDT",
        "first_name": "CLAIRE",
        "middle_name": "M.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1910-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40102500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.