George Alistair Wasielewski

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12153 Issued in MN

Practice address

1300 W Silver Spring Dr
Glendale, WI 53209-4415

Phone

(414) 228-8120

NPI assigned

Apr 7, 2022

Last updated

Jun 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1376285734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 LAKERIDGE RD",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319691",
            "telephone_number": "708-560-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W SILVER SPRING DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094415",
            "telephone_number": "414-228-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASIELEWSKI",
        "first_name": "GEORGE",
        "middle_name": "ALISTAIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter T. Davison, M.D., P.a.
• Brenda Joyce Ward, MSW, APSW, SSW
• Mary D Washburne, MD
• Sandra A Washer, MS CCC SLP
• Jennifer Washington
• Watertower Pain Consultants, SC
• Sephora Abigail Wawa Egbuche
• Anne Zarb Weber, D.D.S.
• Caitlin Weber, MS, LMFT
• Heidi Elizabeth Bares Weidner, PT

• Physical Therapist in Glendale, WI
• Providers in Glendale, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.