Pamela J Wenndt, PT, GCS

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

00734 Issued in IA

Practice address

9550 Upland Lane N.
Suite 120
Maple Grove, MN 55369-4482

Phone

(763) 537-6000

Fax

(763) 537-6666

NPI assigned

Jan 23, 2006

Last updated

May 23, 2011By 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 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1922088145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW",
            "address_2": "SUITE 220",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554333046",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 UPLAND LANE N.",
            "address_2": "SUITE 120",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694482",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNDT",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "PT, GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "00734",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8612",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IA",
            "license": "00734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN PHYSICAL THERAPY LICENSE",
            "identifier": "8612",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA PT LICENSE",
            "identifier": "00734",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Welter, PA
• Nicole Wempen
• Julie Wenda, DPT
• Grace Marie Wendels, DC
• Emily Wendolek, M.ED., ATC
• Sarah A Wernimont, M.D., PH.D.
• Kelly Wesner, MSW, LICSW
• Jessica Westerfeld
• Kayla Westling, PA-C
• Lana R White-King, M.D.

• Geriatric Physical Therapist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Geriatric Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.