Active NPI
Michael M Weinik, DO
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0S006020L
- Practice address
- 3509 N Broad St
Philadelphia, PA 19140-4105 - Phone
- (215) 707-3646
- Fax
- (215) 707-6594
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0S006020L | PA | Primary |
Addresses
Primary practice location
3509 N Broad St
Philadelphia, PA 19140-4105
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-3646
Other practice location 1
3401 N Broad St
Bsmt, Rock Pavilion
Philadelphia, PA 19140-5103
Phone (215) 707-3646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011833440001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Philadelphia College of Osteopathic Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
834 Chestnut St
Suite G114
Philadelphia, PA 19107-5114
Phone (215) 521-3001
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0S006020L | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedic and Sports Medicine Associates, LTD | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Fka PHC, LLP | Current | Accepting new patients | |
| Premier Orthopaedic and Sports Medicine Associates LTD | Current | Accepting new patients | |
| Temple University of the Commonwealth System of Higher Education | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Orthopedic Sports & Arthritis Surgery | Past | Accepting new patients |
Locations
2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800
950 Pulaski Dr
#100
Kng of Prussa, PA 19406
Phone (610) 768-4466
834 Chestnut St
Ste G114
Philadelphia, PA 19107
Phone (215) 521-3000
Interoperability endpoints
- michael.weinik.1@22724.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Newtown Square, PA
- NPI 1215987243
Physical Medicine & Rehabilitation
-
- Surgery of the Hand (Surgery) Physician
- Philadelphia, PA
- NPI 1487680500
-
- Durable Medical Equipment & Medical Supplies
- Exton, PA
- NPI 1497485080
-
- Orthopaedic Surgery Physician
- Paoli, PA
- NPI 1316917594
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1871581991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1497743694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-707-3646",
"fax_number": "215-707-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404105",
"telephone_number": "215-707-3646",
"fax_number": "215-707-6594"
}
],
"practiceLocations": [
{
"address_1": "3401 N Broad St",
"address_2": "Bsmt, Rock Pavilion",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405103",
"country_code": "US",
"telephone_number": "215-707-3646",
"fax_number": "215-707-6594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEINIK",
"first_name": "MICHAEL",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "0S006020L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011833440001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.