Active NPI
David M Wheeler, PT
- Physical Therapist
- Lake Stevens, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007739
- Practice address
- 9514 4TH St NE
Suite 101
Lake Stevens, WA 98258-1937 - Phone
- (425) 397-2327
- Fax
- (425) 377-0283
- NPI assigned
- Feb 14, 2007
- Last updated
- Sep 3, 2014
- 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 Therapist | 225100000X | PT00007739 | WA | Primary |
Addresses
Primary practice location
9514 4TH St NE
Suite 101
Lake Stevens, WA 98258-1937
Mailing address
10505 19TH Ave SE
Suite B
Everett, WA 98208-4280
Phone (408) 570-0510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8407637 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2335 172ND St NE
Marysville, WA 98271-4753
Phone (360) 651-1550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
Locations
10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885
9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327
2335 172nd St NE
Marysville, WA 98271
Phone (360) 651-1550
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
dba Summit Rehab
- Multi-Specialty Clinic/Center
- Lake Stevens, WA
- NPI 1558492934
Physical Therapist
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
-
- Physical Therapist
- Everett, WA
- NPI 1760374771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1588707426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 19TH AVE SE",
"address_2": "SUITE B",
"city": "EVERETT",
"state": "WA",
"postal_code": "982084280",
"telephone_number": "408-570-0510",
"fax_number": "408-945-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9514 4TH ST NE",
"address_2": "SUITE 101",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982581937",
"telephone_number": "425-397-2327",
"fax_number": "425-377-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8407637",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Stevens, WA
- Washington Dental Corporation PC (Lake Stevens Modern Dentistry)
- Rachel Kathryn Watson, PHARMD
- Tyler Joseph Watson, PHARMD.
- Wellness Workforce LLC
- Heather Michelle Welsh
- Justin E White, DPT
- Willetts Way ABA
- Kimberly K. Williams, LMP
- Rodney Alan Windhorst, O.D.
- Caralee Lydia Wirth, B.A., M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.