Wesley Albert Mennear, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

133975 Issued in AK

Practice address

3190 E Meridian Park Loop Ste 206a
Wasilla, AK 99654-7422

Phone

(907) 373-9462

NPI assigned

Jun 26, 2018

Sex

Male

Sole proprietor

Yes

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

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empower Physical Therapy Limited PartnershipGroup PAC ID 8224537535, 38 clinicians

Empower Physical Therapy LLCGroup PAC ID 9830580240, 25 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 Limited Partnership

  • Physical Therapist
  • Wasilla, AK
  • NPI 1023809928

  AK, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Empower Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Wasilla, AK
  • NPI 1508528472

  AK, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Medical Group of Alaska

  • General Practice Physician
  • Wasilla, AK
  • NPI 1750730594

  AK

  Medicare reassignment NPD
• Medical Group of Alaska

  • Physical Therapy Clinic/Center
  • Wasilla, AK
  • NPI 1891208351
  NPD

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1962997544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 E MERIDIAN PARK LOOP STE 3",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547254",
            "telephone_number": "907-357-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 E MERIDIAN PARK LOOP STE 206A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547422",
            "telephone_number": "907-373-9462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4361 Boniface Pkwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995044316",
            "country_code": "US",
            "telephone_number": "907-333-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENNEAR",
        "first_name": "WESLEY",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "133975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "133975",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Peters, D.O. PC
• Elvira E Mendes, CNA OWNER
• Carley Rose Mendiola
• Courtney Meneses
• Audrianna Nicole Mengel, CARE COORDINATOR
• Margaret L Mercer
• Tammy N Merchant, DHAT
• Shauna Merideth
• Meridian Dental, LLC
• Andrew Kelly Merrick, PA-C

• All providers in Wasilla, AK
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.