Individual provider Active NPI

Michael Steven Wahoff, PT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1003190067
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028083 Issued in PA
Practice address
4950 Buffalo Rd Ste 104
Erie, PA 16510-2304
Phone
(814) 899-7000
Fax
(814) 898-2198
NPI assigned
Oct 7, 2011
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8503 CO
Physical Therapist 225100000X PT028083 PA Primary

Addresses

Primary practice location

4950 Buffalo Rd Ste 104
Erie, PA 16510-2304

Mailing address

4950 Buffalo Rd Ste 104
Erie, PA 16510-2304
Phone (814) 899-7000

Other practice location 1

4247 W Ridge Rd Ste 104
Erie, PA 16506-1746
Phone (814) 838-2468

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwahoff253374@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191121002027 PA Practitioner - Physical Therapist in Private Practice 3072505395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Saint Louis University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2021 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2021 Accepting new patients
Allegheny Clinic Physical Therapist Past Accepting new patients

Locations

4950 Buffalo Rd
Ste 104
Erie, PA 16510
Phone (814) 899-7000

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

Interoperability endpoints

  • Direct secure messaging: mwahoff253374@direct.ahn.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1003190067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BUFFALO RD STE 104",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102304",
            "telephone_number": "814-899-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BUFFALO RD STE 104",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102304",
            "telephone_number": "814-899-7000",
            "fax_number": "814-898-2198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4247 W Ridge Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165061746",
            "country_code": "US",
            "telephone_number": "814-838-2468",
            "fax_number": "814-835-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHOFF",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8503",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwahoff253374@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4950 Buffalo Rd Ste 104",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165102304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.