COLLEEN A. WUNDERLICH M.D., MSC – NPI #1689702698
Physical Medicine & Rehabilitation
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
COLLEEN WUNDERLICH is a physician located in COLUMBIA, SC. NPPES has assigned the NPI number 1689702698 to COLLEEN WUNDERLICH on March 01, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine
The NPI profile was previously updated about 6 years ago on Jul 06, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLLEEN WUNDERLICH below.
NPI Profile for
COLLEEN A. WUNDERLICH
(more than 19 years ago)
COLUMBIA, SC 29203-6859 Phone: (803) 434-7995 Fax: (803) 434-8686
1 Other location(s):
Columbia, SC 29203-6878
Phone: (803) 434-7950
Fax: (803) 434-8606
ATLANTA, GA 30374-3904 Phone: (803) 296-7320 Fax: (803) 293-7330
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for COLLEEN WUNDERLICH
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | NCBCBS | NC | 1458X |
| MEDICAID | NC | 5907606 | |
| MEDICAID | SC | N69007 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2081P0010X - Physical Medicine & Rehabilitation / Pediatric Rehabilitation Medicine (Primary) |
VA | 0101238304 |
| 208100000X - Physical Medicine & Rehabilitation |
NC | 2007-00969 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
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