Active NPI
Jeffrey Wesolowski, DPT
- Orthopedic Physical Therapist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- LPT-33241
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 73.77 of 100
- Quality
- 31.85
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 82.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-33241 | AZ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Orthopedic and Sports Physical Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Foot & Ankle Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Arizona Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Neurosurgical Care, LLC | Past | 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
- 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.
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- Orthopedic Physical Therapist
- Bryn Mawr, PA
- NPI 1962937581
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- Physical Therapist
- Philadelphia, PA
- NPI 1588661235
-
- Physical Therapist
- Peoria, AZ
- NPI 1629698147
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
-
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1548867005
-
- Durable Medical Equipment & Medical Supplies
- Collegeville, PA
- NPI 1265629323
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.