Organization Active NPI

Wizwheelz, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
National Provider Identifier
1285265157
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WIZWHEELZ, INC.
Practice address
4460 40TH St SE
Grand Rapids, MI 49512-4035
Phone
(616) 455-5988
Fax
(775) 227-6396
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Lori Wiswell
Title
Customer Service and Support
Phone
(616) 455-5988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4460 40TH St SE
Grand Rapids, MI 49512-4035

Mailing address

4460 40TH St SE
Grand Rapids, MI 49512-4035
Phone (616) 455-5988

Other identifiers 2

IdentifierTypeStateIssuer
5VQ55OtherSAM CAGE CODE
047829762OtherDUNS

Other names 1

  • TerraTrike Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lori@wizwheelz.com

National Provider Directory

National Provider Directory

Locations

4460 40th St SE
Grand Rapids, MI 49512
Phone (616) 455-5988

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1285265157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 40TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495124035",
            "telephone_number": "616-455-5988",
            "fax_number": "775-227-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 40TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495124035",
            "telephone_number": "616-455-5988",
            "fax_number": "775-227-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIZWHEELZ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "WISWELL",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CUSTOMER SERVICE AND SUPPORT",
        "authorized_official_telephone_number": "616-455-5988"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAM CAGE CODE",
            "identifier": "5VQ55",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUNS",
            "identifier": "047829762",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lori@wizwheelz.com",
            "affiliation": "N",
            "endpointDescription": "We do not share patient vital information.  Companies call us directly for personal information. No medical information is necessary",
            "address_1": "4460 40th St SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495124035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TerraTrike",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.