Individual ProviderDerek WenzelPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address101 North Plains Industrial Road, Suite 100, Wallingford, CT 06492(203) 265-0018PECOS EnrollmentBased on the most recent information from CMS, provider Derek Wenzel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1144306325Provider TypeIndividualFull NameWenzel, DerekCredentialPTGenderMaleSole ProprietorNoEnumeration Date10/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address101 North Plains Industrial Road, Suite 100, Wallingford, CT 06492Phone(203) 265-0018Fax(203) 265-4368Mailing LocationMailing AddressPO Box 1568, 101 North Plains Industrial Road Suite 100, Wallingford, CT 06492Phone(203) 265-0018Fax(203) 265-4368Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense006301Connecticut