Individual provider Active NPI

Michaela A Wojcik, PT

  • Physical Therapist
  • Fall River, MA
National Provider Identifier
1700066495
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3118 Issued in MA
Practice address
387 Quarry St Ste 102
Fall River, MA 02723
Phone
(508) 324-9300
Fax
(508) 324-9309
NPI assigned
Nov 9, 2007
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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 3118 MA Primary

Addresses

Primary practice location

387 Quarry St Ste 102
Fall River, MA 02723

Mailing address

387 Quarry St Ste 102
Fall River, MA 02723-1026
Phone (508) 324-9300

Other practice location 1

250 Faunce Corner Rd
North Dartmouth, MA 02747-1221
Phone (508) 984-7226

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3118MAMDHealth Service Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Rehabilitation and Wellness Services, LLC Physical Therapist Past Accepting new patients
FS Commonwealth LLC Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1700066495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST STE 102",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231026",
            "telephone_number": "508-324-9300",
            "fax_number": "508-324-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST STE 102",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "02723",
            "telephone_number": "508-324-9300",
            "fax_number": "508-324-9309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Faunce Corner Rd",
            "address_purpose": "LOCATION",
            "city": "North Dartmouth",
            "state": "MA",
            "postal_code": "027471221",
            "country_code": "US",
            "telephone_number": "508-984-7226",
            "fax_number": "508-984-7212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOJCIK",
        "first_name": "MICHAELA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "3118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.