Individual provider Active NPI

Michael John Wezel

  • Physical Therapist
  • Norwell, MA
National Provider Identifier
1528198215
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027303 Issued in NY
Practice address
119 Washington St
Norwell, MA 02061-1728
Phone
(781) 871-9500
Fax
(781) 871-9525
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027303 NY Primary

Addresses

Primary practice location

119 Washington St
Norwell, MA 02061-1728

Mailing address

1 Arrow Dr
Suite 2
Woburn, MA 01801-2039
Phone (781) 935-2655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081128000016 MA Practitioner - Physical Therapist in Private Practice 9335214378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motion Works Physical Therapy LLCGroup PAC ID 4981987708, 3 clinicians

Practice addresses (Care Compare)

1333 Main St
Suite G
Walpole, MA 02081-1756
Phone (845) 269-9770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027303NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Works Physical Therapy, LLC Physical Therapist CurrentSince Dec 21, 2016 Accepting new patients
Proex Physical Therapy, LLC Past Accepting new patients
Emh Physical Therapy PC Physical Therapist PastSince Nov 1, 2012 Accepting new patients

Locations

1333 Main St
Ste G
Walpole, MA 02081
Phone (508) 668-8900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1528198215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARROW DR",
            "address_2": "SUITE 2",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012039",
            "telephone_number": "781-935-2655",
            "fax_number": "781-935-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611728",
            "telephone_number": "781-871-9500",
            "fax_number": "781-871-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEZEL",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.