Michelle Lea Wyngaard, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT872285 Issued in DC

Practice address

2131 O St NW # 20037
Washington, DC 20037-1008

Phone

(888) 400-7342

NPI assigned

Aug 12, 2018

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• In Motion Physical Therapy LLC

  dba Fyzical Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
  • NPI 1679760862
  Medicare reassignment NPD
• In Motion Physical Therapy LLC

  dba Fyzical Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1629841408
  NPD

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

{
    "created_epoch": "1534032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1720567597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 L ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022020",
            "telephone_number": "863-446-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 O ST NW # 20037",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371008",
            "telephone_number": "888-400-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNGAARD",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-12",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT872285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Attica Consuella Wylie
• Mavis L Wylie, PHD
• Whytne Wylie
• Candace Wyman
• Shante Wynder
• Antoinette Maria Wynn
• Ashley E. Wynn, MSW
• Cotey Wynn
• Gary H Wynn, M.D.
• Jessica Wynn

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.