Timothy Loren Wiater, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015108 Issued in MI

Practice address

4401 W 13 Mile Rd
Royal Oak, MI 48073-6516

Phone

(248) 566-3525

Fax

(248) 566-3527

NPI assigned

Mar 25, 2010

Sex

Male

Sole proprietor

Yes

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Orthopaedic Physical TherapyGroup PAC ID 8325294614, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Michigan Orthopaedic Physical Therapy

  • Physical Therapy Clinic/Center
  • Royal Oak, MI
  • NPI 1518224013

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Michigan Orthopedic Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Royal Oak, MI
  • NPI 1801149695

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1841514437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736516",
            "telephone_number": "248-566-3525",
            "fax_number": "248-566-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736516",
            "telephone_number": "248-566-3525",
            "fax_number": "248-566-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIATER",
        "first_name": "TIMOTHY",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-25",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Maryse White, MD
• Tina White
• Steven Whitmore
• Alisha Kristine Whitney, LMSW
• Bridget Wiater, MD
• Lindsay J Wieg, PA
• Wendy Wiesend
• Jordan M Wigg, MS OTR/L
• Betty J Wilborn-Lee, LMSW
• Henrietta Carter Wilcox, LCSW

• Physical Therapist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.