Individual provider Active NPI

Daniel A Wheeler, PT

  • Physical Therapist
  • St Johnsbury, VT
National Provider Identifier
1710311683
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-0095500 Issued in VT
Practice address
542 Railroad St
St Johnsbury, VT 05819-1741
Phone
(802) 424-1434
NPI assigned
Aug 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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 040-0095500 VT Primary

Addresses

Primary practice location

542 Railroad St
St Johnsbury, VT 05819-1741

Mailing address

15 Sprucewood LN
Lyndonville, VT 05851-9189
Phone (802) 535-5657

Other practice location 1

15 Sprucewood Ln
Lyndonville, VT 05851-9189
Phone (802) 535-5657

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221001281 VT Practitioner - Physical Therapist in Private Practice 7315317039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strong Oaks Physical Therapy LLCGroup PAC ID 3274903992, 2 clinicians

Practice addresses (Care Compare)

542 Railroad St
St Johnsbury, VT 05819-1741
Phone (802) 535-5657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040-0095500VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Oaks Physical Therapy LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Denis J Lamontagne, DPM PastSince Sep 1, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1710311683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SPRUCEWOOD LN",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058519189",
            "telephone_number": "802-535-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 RAILROAD ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058191741",
            "telephone_number": "802-424-1434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Sprucewood Ln",
            "address_purpose": "LOCATION",
            "city": "Lyndonville",
            "state": "VT",
            "postal_code": "058519189",
            "country_code": "US",
            "telephone_number": "802-535-5657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0095500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.