Active NPI
Michael Wellsandt, PT, DPT
- Physical Therapist
- Palmer, AK
National Provider Identifier
1134495211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2123
- Practice address
- 809 S Chugach St Ste 1
Palmer, AK 99645-6665 - Phone
- (907) 746-4373
- NPI assigned
- Mar 22, 2012
- 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 | 2123 | AK | Primary |
Addresses
Primary practice location
809 S Chugach St Ste 1
Palmer, AK 99645-6665
Mailing address
408 Fleetwood Dr
Papillion, NE 68133-2338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2123 | AK | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Excel Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Wasilla, AK
- NPI 1063763704
-
- Physical Therapist
- Wasilla, AK
- NPI 1730131467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1134495211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 FLEETWOOD DR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "681332338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 S CHUGACH ST STE 1",
"city": "PALMER",
"state": "AK",
"postal_code": "996456665",
"telephone_number": "907-746-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLSANDT",
"first_name": "MICHAEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-22",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "2123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.