Active NPI
Jennifer Vincent Wertzler, PT
- Physical Therapist
- Lexington, KY
National Provider Identifier
1932765161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004455
- Practice address
- 1608 Versailles Rd
Lexington, KY 40504-2402 - Phone
- (859) 252-0871
- NPI assigned
- May 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004455 | KY | Primary |
Addresses
Primary practice location
1608 Versailles Rd
Lexington, KY 40504-2402
Mailing address
101 Pelican Way
Midway, KY 40347-9603
Phone (859) 312-1582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004455 | Other | KY | PHYSICAL THERAPY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004455 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1932765161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PELICAN WAY",
"city": "MIDWAY",
"state": "KY",
"postal_code": "403479603",
"telephone_number": "859-312-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 VERSAILLES RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042402",
"telephone_number": "859-252-0871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERTZLER",
"first_name": "JENNIFER",
"middle_name": "VINCENT",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "004455",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.