Active NPI
Michael Wiechec, MPT
- Physical Therapist
- Burien, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010436
- Practice address
- 16259 Sylvester Rd SW
Suite 102
Burien, WA 98166-3049 - Phone
- (248) 202-0846
- NPI assigned
- May 16, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00010436 | WA | Primary |
| Physical Therapist | 225100000X | 1171678 | TX | |
| Physical Therapist | 225100000X | 5501011573 | MI |
Addresses
Primary practice location
16259 Sylvester Rd SW
Suite 102
Burien, WA 98166-3049
Mailing address
121 N Jones Rd
Bay City, MI 48708-9167
Phone (248) 202-0846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23225 Kingsland Blvd
Suite 600
Katy, TX 77494-3705
Phone (281) 395-9090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501011573 | MI | MD | Physical Therapist |
| 1171678 | TX | MD | Physical Therapist |
| PT00010436 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spero Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Children'S Hospital Pediatric Associates, Inc | Past | Accepting new patients | |
| Lynn Jackson, PT, PC | Physical Therapist | Past | Accepting new patients |
Locations
5401 La Crosse Ave
Ste 101
Austin, TX 78739
Phone (512) 852-8134
4225 Guadalupe St
Austin, TX 78751
Phone (737) 204-0089
5401 La Crosse Ave
Bldg C
Austin, TX 78739
Phone (512) 852-8134
6012 W William Cannon Dr
Ste C101
Austin, TX 78749
Phone (512) 899-8508
2630 N Mason Rd
Ste A1
Katy, TX 77449
Phone (281) 914-4465
23225 Kingsland Blvd
Ste 600
Katy, TX 77494
Phone (281) 395-9090
Organizations & group practices 3
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.
-
- Physical Therapist
- Katy, TX
- NPI 1720227788
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
-
- Physical Therapist
- Austin, TX
- NPI 1871779256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336356708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N JONES RD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487089167",
"telephone_number": "248-202-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16259 SYLVESTER RD SW",
"address_2": "SUITE 102",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663049",
"telephone_number": "248-202-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIECHEC",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010436",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1171678",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011573",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.