Wendy J Park, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1130847 Issued in TX

Practice address

2340 W Interstate 20 Ste 218
Arlington, TX 76017-7603

Phone

(682) 238-3243

Fax

(817) 549-0106

NPI assigned

Aug 16, 2021

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 names 1

• Wendy Vittrup Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empower Physical Therapy TX LLCGroup PAC ID 1658705942, 62 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Empower Physical Therapy TX LLC

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1588205033
  Medicare reassignment Care Compare group NPD
• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602

  TX

  Medicare reassignment NPD
• Premier Rehab, P.C.

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1609886472
  NPD (past)

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1922773415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 S COOPER ST STE 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176600",
            "telephone_number": "682-238-3243",
            "fax_number": "817-549-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 W INTERSTATE 20 STE 218",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760177603",
            "telephone_number": "682-238-3243",
            "fax_number": "817-549-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "WENDY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1130847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "VITTRUP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Park Place Pediatric Dentistry
• Park Row Dental
• Park Row Medical Services PLLC
• Park Row Pharmacy, LLC
• Kaeun Park, DMD
• Parker County Hospital District
• Heather Parker
• Jamie Graham Parker
• Jeffrey Parker
• Leanne Parker

• Physical Therapist in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.