DR. COLLEEN ANN WUNDERLICH M.D. MSC NPI 1689702698

NPI Information

  • NPI: 1689702698
  • Provider Name: DR. COLLEEN ANN WUNDERLICH, M.D., MSC
  • Classification: Physical Medicine & Rehabilitation - 2081P0010X
  • Specialization: Pediatric Rehabilitation Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9 RICHLAND MEDICAL PARK DR STE 410
    COLUMBIA, SC
    ZIP 29203
  • Phone: (803) 434-7995

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NPI Details

DR. Colleen Ann Wunderlich, M.D., MSC is a pediatric rehabilitation medicine physical medicine rehabilitation in Columbia, SC with 26 years of experience. The provider is 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. DR. Colleen Ann Wunderlich, M.D., MSC NPI is 1689702698. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC
ZIP 29203-859
Phone: (803) 434-7995
Fax: (803) 434-8686

The NPI 1689702698 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 7/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & Rehabilitation2007-00969NORTH CAROLINANo
2208100000XPhysical Medicine & Rehabilitation46317MINNESOTANo
32081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine40616SOUTH CAROLINAYes
42081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine2007-00969NORTH CAROLINANo
52081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine0101238304VIRGINIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11458XOTHERNORTH CAROLINANCBCBS
2N69007MEDICAIDSOUTH CAROLINA
35907606MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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