William Jesse Wachter, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018936 Issued in MI

Practice address

8565 N Silvery LN Ste 401
Dearborn Heights, MI 48127-4518

Phone

(313) 359-9595

Fax

(313) 359-9585

NPI assigned

Dec 27, 2018

Last updated

May 23, 2019By the provider in NPPES

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Buffalo School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Rehab IncGroup PAC ID 2163525163, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Rehab Inc

  • Physical Therapist
  • Dearborn Heights, MI
  • NPI 1801954508
  Medicare reassignment Care Compare group NPD
• Spine and Aquatic Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Livonia, MI
  • NPI 1346947116

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1609348937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 N SILVERY LN STE 401",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274518",
            "telephone_number": "313-359-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 N SILVERY LN STE 401",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274518",
            "telephone_number": "313-359-9595",
            "fax_number": "313-359-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTER",
        "first_name": "WILLIAM",
        "middle_name": "JESSE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-27",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Living Home Care LLC
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• Vitality Health Clinic PLLC
• Vivarx LLC
• Vue Eye Boutique PLLC
• Hekmat M Wahab, LBA
• Walgreen Co (Walgreens #07206)
• Walgreen Co (Walgreens #11456)
• Walgreen Co (Walgreens #04367)
• Celestine K Walker, PT

• Physical Therapist in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.