Individual provider Active NPI

Jeffrey Wesolowski, DPT

  • Orthopedic Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1689349136
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
LPT-33241 Issued in AZ
Practice address
1608 Walnut St Ste 200
Philadelphia, PA 19103-5426
Phone
(215) 545-8717
NPI assigned
Aug 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT029743 PA
Orthopedic Physical Therapist 2251X0800X LPT-33241 AZ Primary

Addresses

Primary practice location

1608 Walnut St Ste 200
Philadelphia, PA 19103-5426

Mailing address

475 Allendale Rd Ste 206
King of Prussia, PA 19406-1495
Phone (610) 270-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210825002748 PA Practitioner - Physical Therapist in Private Practice 3375948599 Reassigns benefits to 2 organizations
I20231229002162 AZ Practitioner - Physical Therapist in Private Practice 3375948599 Reassigns benefits to 2 organizations
I20240411000465 CA Practitioner - Physical Therapist in Private Practice 3375948599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
31.85
Promoting interoperability
98
Improvement activities
40
Cost
82.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-33241AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Jan 22, 2024 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Foot & Ankle Physical Therapy, LLC Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jan 22, 2024 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Dec 14, 2023 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Neurosurgical Care, LLC PastSince Aug 9, 2021 Accepting new patients

Locations

20770 W Market St
Ste 106
Buckeye, AZ 85396
Phone (623) 278-7520

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550

9377 E Bell Rd
Ste 349
Scottsdale, AZ 85260
Phone (602) 313-1549

6200 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 664-2270

5002 S Mill Ave
Ste 105
Tempe, AZ 85282
Phone (602) 512-8607

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

931 E Haverford Rd
Fl 3
Bryn Mawr, PA 19010
Phone (610) 557-0590

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

1608 Walnut St
Ste 200
Philadelphia, PA 19103
Phone (215) 545-8717

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACEAA

Organizations & group practices 9

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1689349136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ALLENDALE RD STE 206",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061495",
            "telephone_number": "610-270-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WALNUT ST STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035426",
            "telephone_number": "215-545-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESOLOWSKI",
        "first_name": "JEFFREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT029743",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "LPT-33241",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 28, 2025; 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.