Active NPI
Michael James Wheeler, PT, DPT, ATC
- Physical Therapist
- Woodbine, MD
National Provider Identifier
1730491358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22197
- Practice address
- 2520 Daisy Rd
Woodbine, MD 21797-8128 - Phone
- (443) 605-3464
- NPI assigned
- Jul 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22197 | MD | Primary |
Addresses
Primary practice location
2520 Daisy Rd
Woodbine, MD 21797-8128
Mailing address
PO Box 67
Lisbon, MD 21765-0067
Phone (443) 605-3464
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1730491358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67",
"city": "LISBON",
"state": "MD",
"postal_code": "217650067",
"telephone_number": "443-605-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 DAISY RD",
"city": "WOODBINE",
"state": "MD",
"postal_code": "217978128",
"telephone_number": "443-605-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-12",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.