Active NPI
Clifford Joseph Wedel, P.T.
- Physical Therapist
- Flint, MI
National Provider Identifier
1659540680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6501000293
- Practice address
- 3375 N Linden Rd
#515
Flint, MI 48504-5719 - Phone
- (810) 230-1030
- Fax
- (810) 230-1038
- NPI assigned
- Feb 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 6501000293 | MI | Primary |
Addresses
Primary practice location
3375 N Linden Rd
#515
Flint, MI 48504-5719
Mailing address
1220 E Reid Rd
Grand Blanc, MI 48439-8835
Phone (810) 515-4052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6501000293 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203811200000",
"number": "1659540680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E REID RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398835",
"telephone_number": "810-515-4052",
"fax_number": "810-694-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 N LINDEN RD",
"address_2": "#515",
"city": "FLINT",
"state": "MI",
"postal_code": "485045719",
"telephone_number": "810-230-1030",
"fax_number": "810-230-1038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEDEL",
"first_name": "CLIFFORD",
"middle_name": "JOSEPH",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-24",
"last_updated": "2008-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "6501000293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.