Joseph Wisniewski, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298859 Issued in CA

Practice address

3609 Oakdale Rd Ste 3
Modesto, CA 95357-0718

Phone

(209) 312-9591

Fax

(209) 661-4469

NPI assigned

Sep 8, 2020

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 OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Ohio University, College of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suburban Physical Therapy, IncGroup PAC ID 5991696544, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Suburban Physical Therapy, Inc

  • Physical Therapist
  • Brecksville, OH
  • NPI 1255461638
  Medicare reassignment Care Compare group NPD
• Suburban Physical Therapy, Inc

  • Physical Therapist
  • Twinsburg, OH
  • NPI 1801943840
  NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1154935195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE STE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501159",
            "telephone_number": "209-579-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 OAKDALE RD STE 3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570718",
            "telephone_number": "209-312-9591",
            "fax_number": "209-661-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Donnell Winter, D.D.S
• Colleen F. Winters, LCSW
• Sarah Ann Winters
• Shawna Winters
• Kathryn Wisler
• Nicole L Wison
• Brian W Wistow, M.D.
• Denise Wofford, PA
• Courtney Wohld
• Thomas I Wolf, PHARMD

• Physical Therapist in Modesto, CA
• Providers in Modesto, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.