Jarred Waite

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501302424 Issued in MI

Practice address

14800 East Old US 12
Chelsea, MI 48188

Phone

(734) 593-6370

NPI assigned

Jan 18, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Probility Therapy Services

  • Physical Therapist
  • Ypsilanti, MI
  • NPI 1164458543
  Medicare reassignment NPD
• Probility Therapy Services

  • Rehabilitation Clinic/Center
  • Ypsilanti, MI
  • NPI 1952873689
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1144935784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 W CLARK RD STE 200",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971103",
            "telephone_number": "734-528-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 EAST OLD US 12",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "734-593-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "JARRED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent R. Elie MD, PLC
• Jennifer Vogel, CPHT
• Susan Ruth Vredeveld, OTR
• Mary Wagner
• Kelsey Wagoner, PT, DPT
• Vanessa Jo Waldvogel
• Emma Walz
• Kathryn Walz, LMSW
• Jacob Wasag
• Elizabeth Sang Watson, OTR

• Physical Therapist in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.