Individual provider Active NPI

Nathan Daniel Wertz, MS, PT, OMPT

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1841238433
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
NW010949 Issued in NU
Practice address
3410 Belle Chase Way
Suite 700
Lansing, MI 48911-4282
Phone
(517) 657-7790
Fax
(517) 657-8893
NPI assigned
Jun 3, 2006
Last updated
Feb 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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 NW010949 NU Primary

Addresses

Primary practice location

3410 Belle Chase Way
Suite 700
Lansing, MI 48911-4282

Mailing address

3410 Belle Chase Way
Suite 700
Lansing, MI 48911-4282
Phone (517) 657-7790

Other identifiers 2

IdentifierTypeStateIssuer
64-00940OtherPHP
30658OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802001165 MI Practitioner - Physical Therapist in Private Practice 3072541879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3474 Alaiedon Pkwy
Suite 700
Okemos, MI 48864-6900
Phone (517) 657-7790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Wertz Orthopedic Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2016 Accepting new patients
Lansing Orthopedic PC Past Accepting new patients

Locations

3410 Belle Chase Way
Ste 700
Lansing, MI 48911
Phone (313) 364-9530

3474 Alaiedon Pkwy
Ste 700
Okemos, MI 48864
Phone (517) 657-7790

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1841238433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 BELLE CHASE WAY",
            "address_2": "SUITE 700",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114282",
            "telephone_number": "517-657-7790",
            "fax_number": "517-657-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 BELLE CHASE WAY",
            "address_2": "SUITE 700",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114282",
            "telephone_number": "517-657-7790",
            "fax_number": "517-657-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTZ",
        "first_name": "NATHAN",
        "middle_name": "DANIEL",
        "credential": "MS, PT, OMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "NW010949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "64-00940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30658",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.