Individual provider Active NPI

Wendy Marian Stimson, PT

  • Physical Medicine & Rehabilitation Physician
  • Los Altos, CA
National Provider Identifier
1932294915
Registry record updated Aug 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT9520 Issued in CA
Practice address
1000 Fremont Ave Ste 195
Los Altos, CA 94024-6055
Phone
(650) 947-0257
NPI assigned
Oct 4, 2006
Last updated
Aug 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT9520 CA Primary

Addresses

Primary practice location

1000 Fremont Ave Ste 195
Los Altos, CA 94024-6055

Mailing address

1191 Bruckner Circle
Mountainview, CA 94040
Phone (650) 793-5079

Other practice location 1

851 Fremont Ave
Suite 110
Los Altos, CA 94024
Phone (650) 947-0257

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT9520CAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1932294915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 BRUCKNER CIRCLE",
            "city": "MOUNTAINVIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-793-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 195",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246055",
            "telephone_number": "650-947-0257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Fremont Ave",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "94024",
            "country_code": "US",
            "telephone_number": "650-947-0257",
            "fax_number": "650-917-8574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIMSON",
        "first_name": "WENDY",
        "middle_name": "MARIAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT9520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.