Individual provider Active NPI

Cari Marie Wetzel, R.P.T.

  • Physical Therapist
  • Chesterfield, MO
National Provider Identifier
1194094730
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
107017 Issued in MO
Practice address
16415 Wilson Farm Dr
Chesterfield, MO 63005-4558
Phone
(636) 519-0360
Fax
(636) 519-0370
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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 107017 MO Primary

Addresses

Primary practice location

16415 Wilson Farm Dr
Chesterfield, MO 63005-4558

Mailing address

16415 Wilson Farm Dr
Chesterfield, MO 63005-4558
Phone (636) 519-0360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000611 MO Practitioner - Physical Therapist in Private Practice 6709047913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Patient Care Professionals IncBallwin, MO, CCN 267594 Home health agency W-2 Managing Employee (50%) Oct 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1194094730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16415 WILSON FARM DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054558",
            "telephone_number": "636-519-0360",
            "fax_number": "636-519-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 WILSON FARM DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054558",
            "telephone_number": "636-519-0360",
            "fax_number": "636-519-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "CARI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "107017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.