Timothy M Wheelahan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00469 Issued in LA

Practice address

8835 Line Ave Ste 100
Shreveport, LA 71106-6731

Phone

(318) 681-5633

Fax

(318) 681-5685

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1366577801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5477",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711355477",
            "telephone_number": "318-681-5633",
            "fax_number": "318-681-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 LINE AVE STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066731",
            "telephone_number": "318-681-5633",
            "fax_number": "318-681-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELAHAN",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2140221",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westwood Mental Health LLC
• Ezekiel J Wetzel, M.D.
• Brandi Mikal Whaley, CLS, CPT
• Peyton Yvette Whatley, PTA
• Margaret Ashley Wheat, MD
• Dana S Wheeler, M.D.
• John Phlemon Wheeler
• Melani M. Wheeler, LPC, PHD
• Raquel Wheeler
• Wheels of Compassion LLC

• Physical Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.