Kenneth Wheeler, DPT, OCS, NCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1226699 Issued in TX

Practice address

1001 12TH Ave Ste 201
Fort Worth, TX 76104-3946

Phone

(817) 719-7714

Fax

(817) 796-1114

NPI assigned

Apr 26, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clearcut Ortho LLCGroup PAC ID 2365794609, 14 clinicians

Practice addresses (Care Compare)

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.

• Clearcut Ortho, LLC

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1720565583
  Medicare reassignment Care Compare group NPD Authorized official
• Peter D Leonard, M.D. PA

  • Specialist
  • Plano, TX
  • NPI 1699132589
  NPD (past)

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1427492941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-719-7714",
            "fax_number": "817-796-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043946",
            "telephone_number": "817-719-7714",
            "fax_number": "817-796-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DPT, OCS, NCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "TX",
            "license": "1226699",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1226699",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1226699",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1226699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394270801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aranxa Wheeler
• Breanna M Wheeler
• Cassidy Wheeler, DO
• Joe Ellis Wheeler, M.D.
• Kathryn Brelsford Wheeler, DO
• Linsey Margaret Wheeler, PTA
• Lynda R Wheeler
• Molly Wheeler, SLP
• Rachel E Wheeler, PA-C
• Sarah Wheeler, M.S. CCC-SLP

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.