Active NPI
Cari Marie Wetzel, R.P.T.
- Physical Therapist
- Chesterfield, MO
National Provider Identifier
1194094730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 107017
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Patient Care Professionals Inc | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.