Active NPI
Michael L Phillips, DPT
- Physical Therapist
- Wexford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016778
- Practice address
- 10475 Perry Hwy Ste 106G
Wexford, PA 15090-9213 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Jun 30, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT016778 | PA | |
| Physical Therapist | 225100000X | PT016778 | PA | Primary |
| Physical Therapist | 225100000X | CP055351T | MD |
Addresses
Primary practice location
10475 Perry Hwy Ste 106G
Wexford, PA 15090-9213
Mailing address
121 E 6TH St
Oil City, PA 16301-2517
Phone (412) 477-2853
Other practice location 1
17301 Valley Mall Rd
Hagerstown, MD 21740-6966
Phone (240) 850-2002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251570641 | Other | PA | TAX ID |
| 0015935850013 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD, DC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
141 Thomas Johnson Dr
Suite 180
Frederick, MD 21702-4509
Phone (301) 620-7478
17301 Valley Mall Rd
Hagerstown, MD 21740-6966
Phone (240) 850-2002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP055351T | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800
10475 Perry Hwy
Ste 106G
Wexford, PA 15090
Phone (877) 407-4322
1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1144259557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E 6TH ST",
"city": "OIL CITY",
"state": "PA",
"postal_code": "163012517",
"telephone_number": "412-477-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10475 PERRY HWY STE 106G",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909213",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
}
],
"practiceLocations": [
{
"address_1": "17301 Valley Mall Rd",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217406966",
"country_code": "US",
"telephone_number": "240-850-2002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "PT016778",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016778",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "CP055351T",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "251570641",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015935850013",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.