Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Debra Kay Wenneman, PT

Individual provider Physical Therapist · NPI 1639495930

Mrs. Debra Kay Wenneman, PT is a Physical Therapist in Private Practice in Island Lake, Illinois. Qualified in 1981, 45 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
45
Licensed in
IL, MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

510 Auburn Dr Ste B
Island Lake, IL 60042-9105
Phone: (847) 487-4609
Fax: (474) 874-9178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070022281 (IL)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 5501005988 (MI)

Record details

NPI number1639495930
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 12, 2010
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Island Lake