DR. NICHOLAS JAMES WANKUM (NPI# 1154892792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154892792 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS JAMES WANKUM |
| Credential | DPT |
| Practice Address |
9040a Jackson Ave Joint Base Lewis Mcchord WA 98431-0001 |
| Practice Telephone | 7123896625 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2082 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9040A JACKSON AVE |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747716 | Melissa Stahl | Occupational Therapist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2020-10-16 |
| 1043832090 | Ryan Michael Brock | Pharmacist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2020-05-13 |
| 1205457900 | Yang Qu | Physician Assistant | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2020-05-04 |
| 1275195877 | Michael C Saenz | Licensed Practical Nurse | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2019-07-03 |
| 1942775184 | Rachel Nell Dyal | Nutritionist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-10-03 |
| 1861998346 | Isaac Ingersoll | General Practice | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-04-03 |
| 1184124687 | Ketan Mehta | General Practice | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-02-20 |
| 1073965851 | Katy L Modlin | Dermatology | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-5638 | 2016-07-06 |
| 1104286582 | Andrew Zilka | Physician Assistant | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2016-02-29 |
| 1164881520 | Aundrea Kastl | General Practice | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-4504 | 2016-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992054019 | Michael Roy Young | Physical Therapist | 9010 Blaine St, Joint Base Lewis Mcchord, WA 98433-1219 | 2012-09-05 |
| 1972560811 | Jon Neumann | Physical Therapist | 304 Pitsenbarger Blvd, Joint Base Lewis Mcchord, WA 98438-1201 | 2006-04-26 |
| 1265068753 | Kimberly Zook | Physical Therapist | 9020 Blaine St, Joint Base Lewis Mcchord, WA 98433-1219 | 2020-03-17 |
| 1497181374 | Melinda Lee Daugherty | Physical Therapist | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2013-09-23 |
| 1205262482 | Maureen T Brunetti | Physical Therapist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2013-09-19 |
| 1184968000 | Larissa Kathryn Howerton | Physical Therapist | 9010 Blaine St, Joint Base Lewis Mcchord, WA 98433-1219 | 2012-11-15 |
| 1316009962 | Jason R Steere | Physical Therapist | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-4800 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609882 | Desirae Lyall | Physical Therapist | 299 Bradley Blvd Ste C, Richland, WA 99352-4691 | 2020-11-05 |
| 1306447677 | James Richard Cramer | Physical Therapist | 950 Pacific Ave Fl 8, Tacoma, WA 98402-4400 | 2020-11-03 |
| 1528669066 | Liberty Enterprises, LLC | Physical Therapist | 5227 Road K Ne, Moses Lake, WA 98837-9038 | 2020-11-02 |
| 1124629654 | Carol Strassman | Physical Therapist | 200 15th Ave E # 2wb2n, Seattle, WA 98112-5260 | 2020-11-02 |
| 1992305981 | Stephanie Camper | Physical Therapist | 5412 S Madelia St, Spokane, WA 99223-8147 | 2020-10-28 |
| 1639778137 | Jennifer Christine Mcgarry | Physical Therapist | 17307 Se 272nd St Ste 126, Covington, WA 98042-5306 | 2020-10-26 |
| 1457950784 | Bethoney Joy Mcandrews | Physical Therapist | 5408 Meridian Ave N Apt 205, Seattle, WA 98103-6100 | 2020-10-19 |
| 1093314460 | Aubrey L Scheffel | Physical Therapist | 16222 Sylvester Rd Sw, Burien, WA 98166-3018 | 2020-10-18 |
| 1689272494 | Benjamin Devaud | Physical Therapist | 1242 State Ave Ste A, Marysville, WA 98270-3672 | 2020-10-14 |
| 1295333235 | Nike Hokama | Physical Therapist | 2227 152nd Ave Ne Ste A, Redmond, WA 98052-5519 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98431 |
Please comment or provide details below to improve the information on DR. NICHOLAS JAMES WANKUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.