Individual provider Active NPI

Daniel Wheeler, DPT

  • Physical Therapist
  • St Charles, IL
National Provider Identifier
1083274948
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070024361 Issued in IL
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190719001796 IL Practitioner - Physical Therapist in Private Practice 7810223450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Apmstc LLCGroup PAC ID 7416495569, 2 clinicians

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

LicenseStateTypeSpecialty
070024361ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apmstc LLC Physical Therapist CurrentSince Jul 30, 2024 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.

Verify at the official NPI Registry.