Individual provider Active NPI

Melissa A Wiorek, DPT

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1699347781
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15410-24 Issued in WI
Practice address
10215 Fernwood Rd Ste 303
Bethesda, MD 20817-1183
Phone
(301) 530-1010
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15410-24 WI Primary

Addresses

Primary practice location

10215 Fernwood Rd Ste 303
Bethesda, MD 20817-1183

Mailing address

5918 Currant LN
Greendale, WI 53129-2427
Phone (414) 630-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804002693 DC Practitioner - Physical Therapist in Private Practice 6204230840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Chevy Chase Orthopaedic Associates, LLCGroup PAC ID 4789631011, 138 clinicians

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1184
Phone (301) 530-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28557MDMDPharmacist
15410-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Jul 27, 2021 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Jul 27, 2021 Accepting new patients

Locations

10215 Fernwood Rd
Ste 303
Bethesda, MD 20817
Phone (301) 270-2844

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

19735 Germantown Rd
Ste 120
Germantown, MD 20874
Phone (301) 340-9200

9601 Blackwell Rd
Ste 100
Rockville, MD 20850
Phone (301) 340-9200

4420 Fairfax Dr
Ste 100
Arlington, VA 22203
Phone (703) 419-3002

8401 Greensboro Dr
Ste 120
McLean, VA 22102
Phone (571) 899-3580

Organizations & group practices 2

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1699347781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 CURRANT LN",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292427",
            "telephone_number": "414-630-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 303",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171183",
            "telephone_number": "301-530-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIOREK",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15410-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.