Michael William Wirtz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12197 Issued in SC

Practice address

75 W Wesmark Blvd
Sumter, SC 29150-1955

Phone

(803) 938-5395

Fax

(803) 938-5396

NPI assigned

Aug 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA, SC3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bodies in Motion Physical Therapy II, LLCGroup PAC ID 9830296367, 11 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.

• Bodies in Motion Physical Therapy II, LLC

  • Physical Therapist
  • Reston, VA
  • NPI 1740361641

  DC

  Medicare reassignment Care Compare group NPD
• Carolina Physical Therapy and Sports Medicine Limited Partnership

  • Physical Therapist
  • Columbia, SC
  • NPI 1487180881
  Medicare reassignment NPD
• Jackson Clinics Limited Partnership

  • Physical Therapist
  • Centreville, VA
  • NPI 1639594831

  DC

  Medicare reassignment NPD
• Professional Sportscare & Rehab, LLC

  dba Pivot Physical Therapy of Metro DC

  • Clinic/Center
  • Winchester, VA
  • NPI 1033142294

  DC, Physical Therapist

  Medicare reassignment NPD
• Carolina Physical Therapy and Sports Medicine, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Columbia, SC
  • NPI 1952491490
  NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • York, PA
  • NPI 1053348409
  NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Hummelstown, PA
  • NPI 1538122700
  NPD
• Professional Sportscare & Rehab, LLC

  dba Pivot Physical Therapy

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1548714959
  NPD (past)
• The Jackson Clinics LLC

  • Physical Therapist
  • Middleburg, VA
  • NPI 1427034982
  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1205481173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 E MARKET ST",
            "city": "MAHANOY CITY",
            "state": "PA",
            "postal_code": "179482836",
            "telephone_number": "570-778-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501955",
            "telephone_number": "803-938-5395",
            "fax_number": "803-938-5396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8250 Greensboro Dr",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221024902",
            "country_code": "US",
            "telephone_number": "703-388-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRTZ",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213054",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brenda J Witherspoon, CRNA
• Chelsea Witherspoon, LPC

• Physical Therapist in Sumter, SC
• Providers in Sumter, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.