Active NPI
Brian Wheeler, PT
- Physical Therapist
- Medfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23377
- Practice address
- 2 Icehouse Rd
Medfield, MA 02052-1555 - Phone
- (508) 242-9478
- Fax
- (508) 242-9489
- NPI assigned
- Dec 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23377 | MA | Primary |
Addresses
Primary practice location
2 Icehouse Rd
Medfield, MA 02052-1555
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
179 Bear Hill Rd
Suite 105
Waltham, MA 02451-1063
Phone (781) 895-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23377 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Multiple Sclerosis Specialty Center, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
85 Franklin St
Boston, MA 02110
Phone (857) 284-4399
2 Icehouse Rd
Medfield, MA 02052
Phone (508) 242-9478
179 Bear Hill Rd
Ste 105
Waltham, MA 02451
Phone (781) 895-9500
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physical Therapist
- Waltham, MA
- NPI 1831594282
-
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1003320839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ICEHOUSE RD",
"city": "MEDFIELD",
"state": "MA",
"postal_code": "020521555",
"telephone_number": "508-242-9478",
"fax_number": "508-242-9489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "BRIAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-01",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.