Organization Active NPI

Wertz Orthopedic Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Okemos, MI
National Provider Identifier
1376903799
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WERTZ ORTHOPEDIC PHYSICAL THERAPY LLC
Practice address
3474 Alaiedon Pkwy Ste 700
Okemos, MI 48864-6900
Phone
(517) 657-7790
Fax
(517) 657-7793
NPI assigned
Feb 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Mr. Nathan D Wertz, P.T.NPI 1841238433
Title
Owner
Phone
(517) 657-7790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3474 Alaiedon Pkwy Ste 700
Okemos, MI 48864-6900

Mailing address

3474 Alaiedon Pkwy Ste 700
Okemos, MI 48864-6900
Phone (517) 657-7790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160428000176 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9335448273 Receives reassigned benefits from 1 practitioner
Practice locations: Okemos, MI

National Provider Directory

National Provider Directory

Locations

3474 Alaiedon Pkwy
Ste 700
Okemos, MI 48864
Phone (517) 657-7790

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1376903799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3474 ALAIEDON PKWY STE 700",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646900",
            "telephone_number": "517-657-7790",
            "fax_number": "517-657-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3474 ALAIEDON PKWY STE 700",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646900",
            "telephone_number": "517-657-7790",
            "fax_number": "517-657-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WERTZ ORTHOPEDIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "WERTZ",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-657-7790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.