Jennifer Wheeler

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015382 Issued in MI

Practice address

21669 Telegraph Rd
Brownstown TWP, MI 48183-1338

Phone

(734) 307-0911

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Custom Fit Physical Therapy PLLCGroup PAC ID 5698202422, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.73 of 100Reported as group

Quality

87.86

Improvement activities

40

Cost

61.36

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Custom Fit Physical Therapy PLLC

  • Physical Therapist
  • Brownstown TWP, MI
  • NPI 1225866726
  Medicare reassignment Care Compare group NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Bloomfield Hills, MI
  • NPI 1548932619
  Medicare reassignment NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Marietta, GA
  • NPI 1508538158
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1376653915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21669 TELEGRAPH RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831338",
            "telephone_number": "734-307-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21669 TELEGRAPH RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831338",
            "telephone_number": "734-307-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16000 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "481012563",
            "country_code": "US",
            "telephone_number": "313-359-8867",
            "fax_number": "313-359-5568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PTA",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Vassallo
• Rohit Verma, MD
• Vicki Anton Anthens DPM PC
• Lynnette Waara
• Kyle Alexander Walker, PT, DPT
• Janell Diane Wilcox, PA
• Deborah Winter
• Christina Gough Wood, D.O.
• Woodward Detroit CVS, L.L.C.
• Debbie D Woody Vitale, DPM

• Physical Therapist in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.

Verify at the official NPI Registry.