Active NPI
Daniel Wheeler, DPT
- Physical Therapist
- St Charles, IL
National Provider Identifier
1083274948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070024361
- Practice address
- 40W201 Wasco Rd Ste Ab
St Charles, IL 60175-8509 - Phone
- (630) 377-7788
- Fax
- (630) 377-7802
- NPI assigned
- Jun 13, 2019
- Last updated
- Jun 30, 2020
- 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 | 070024361 | IL | Primary |
Addresses
Primary practice location
40W201 Wasco Rd Ste Ab
St Charles, IL 60175-8509
Mailing address
40W201 Wasco Rd Ste Ab
St Charles, IL 60175-8509
Phone (630) 377-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
40 W201 Wasco Rd
Suite Ab
St Charles, IL 60175-8509
Phone (630) 377-7788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070024361 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apmstc LLC | Physical Therapist | Current | Accepting new patients |
Locations
40W201 Wasco Rd
Ste Ab
St Charles, IL 60175
Phone (630) 377-7788
Organizations & group practices 1
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": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1083274948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40W201 WASCO RD STE AB",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601758509",
"telephone_number": "630-377-7788",
"fax_number": "630-377-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40W201 WASCO RD STE AB",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601758509",
"telephone_number": "630-377-7788",
"fax_number": "630-377-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "DANIEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-13",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070024361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.