Active NPI
Chad Wissler, P.T.
- Physical Therapist
- Lowell, MA
National Provider Identifier
1295820207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17268
- Practice address
- 176 Walker St
Lowell, MA 01854-3126 - Phone
- (978) 452-9252
- Fax
- (978) 970-0271
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 | 17268 | MA | Primary |
Addresses
Primary practice location
176 Walker St
Lowell, MA 01854-3126
Mailing address
27 Bluestone Dr
Nashua, NH 03060-6821
Phone (617) 777-2215
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y68579 | Other | MA | BLUE CROSS PROVIDER ID |
| 479040 | Other | MA | TUFTS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1295820207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 BLUESTONE DR",
"city": "NASHUA",
"state": "NH",
"postal_code": "030606821",
"telephone_number": "617-777-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 WALKER ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018543126",
"telephone_number": "978-452-9252",
"fax_number": "978-970-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISSLER",
"first_name": "CHAD",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER ID",
"identifier": "Y68579",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PROVIDER ID",
"identifier": "479040",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.