Mycheal Wiles, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2038 Issued in WY

Practice address

1125 Charles Ave
Worland, WY 82401-4021

Phone

(307) 347-2535

NPI assigned

Dec 22, 2020

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

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William H and Carrie Gottsche FoundationGroup PAC ID 5092606293, 73 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.

• William H and Carrie Gottsche Foundation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Thermopolis, WY
  • NPI 1558319392
  Medicare reassignment Care Compare group NPD
• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1457948770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824430790",
            "telephone_number": "307-864-2146",
            "fax_number": "307-864-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CHARLES AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824014021",
            "telephone_number": "307-347-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "MYCHEAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Howard Weigand, RN
• Jennifer Nicole Wheeler
• Wendy K Wiecki, BA, CMHW
• Benjamin B Wilde, D.O.
• Bradley R Wilde, D.C.
• Holly Marie Williams, MD
• Alexis Wilson
• Carolyn J Wilson
• Matthew Wilson
• Samuel Wilson

• Physical Therapist in Worland, WY
• Providers in Worland, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.