JENNIFER N. WUNDERLICH (DPT) – Physical Therapist, NPI 1285769877

JENNIFER N. WUNDERLICH (DPT) is a healthcare provider. based in Arnold, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 007035 (KY). The NPI Number for JENNIFER N. WUNDERLICH (DPT) is 1285769877

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER N. WUNDERLICH (DPT)
NPI
1285769877
Phone
(636) 282-0125
Address
4 ARNOLD MALL
Enumeration Date
22 February 2007
Last Update Date
6 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8595945220
Graduation Year
2009 (17 years ago)
PAC ID
0446614085
Group Practice PAC ID
8224096474
Professional Enrollment ID
I20230914001846
Address ID
KY410488003HE2010XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for JENNIFER N. WUNDERLICH (DPT)

  • 4 ARNOLD MALL

    ARNOLD, MO 630102223

    Phone: (636) 282-0125

    Fax: (636) 282-0057

    Type: Mailing

  • 2010 N BEND RD STE 600

    HEBRON, KY 410488003

    Phone: (859) 594-5220

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230914001846IPhysical Therapist In Private PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224096474View full group profile
NameSpecialtyState
Pain Management, Physical Medicine And RehabilitationOH
Orthopedic SurgeryOH
Physical Medicine And RehabilitationOH
Family PracticeOH
Family PracticeOH
Physical Medicine And Rehabilitation, Sports MedicineKY
Orthopedic Surgery, Hand SurgeryOH
Internal Medicine, Pediatric MedicineOH
Internal MedicineOH
Orthopedic SurgeryOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER N. WUNDERLICH (DPT)?
JENNIFER N. WUNDERLICH (DPT) — NPI 1285769877 — is the standard way to identify this listing.
Is JENNIFER N. WUNDERLICH (DPT) listed as active for patients and plans?
The listing shows JENNIFER N. WUNDERLICH (DPT) as active in the NPI system.
What is JENNIFER N. WUNDERLICH (DPT)'s specialty?
The listing groups JENNIFER N. WUNDERLICH (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does JENNIFER N. WUNDERLICH (DPT) serve?
JENNIFER N. WUNDERLICH (DPT)'s listing highlights Arnold, Missouri; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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