Individual provider Active NPI

Russell Wheeler, PT

  • Physical Therapist
  • Exeter, NH
National Provider Identifier
1972805216
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3586 Issued in NH
Practice address
One Hampton Road
Suite 200
Exeter, NH 03833-4855
Phone
(603) 775-7575
Fax
(603) 778-9680
NPI assigned
Nov 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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 3586 NH Primary

Addresses

Primary practice location

One Hampton Road
Suite 200
Exeter, NH 03833-4855

Mailing address

One Hampton Road
Suite 205
Exeter, NH 03833
Phone (603) 775-7575

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Sports Medicine and Orthopaedics, PLLC 35 clinicians

Practice addresses (Care Compare)

1 Hampton Rd
Unit 200
Exeter, NH 03833-4855
Phone (603) 775-7575

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
Quality
53.18
Promoting interoperability
79
Improvement activities
40
Cost
79.71

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000923 NH Practitioner - Physical Therapist in Private Practice 7911186754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3586NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Sports Medicine & Orthopaedics, PLLC Physical Therapist CurrentSince Jan 1, 2012 Accepting new patients
Access Sports Medicine & Orthopaedics, PLLC CurrentSince Jan 1, 2012 Accepting new patients

Locations

1 Hampton Rd
Unit 205
Exeter, NH 03833
Phone (603) 772-0604

1 Hampton Rd
Unit 200
Exeter, NH 03833
Phone (603) 775-7575

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1972805216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HAMPTON ROAD",
            "address_2": "SUITE 205",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "03833",
            "telephone_number": "603-775-7575",
            "fax_number": "306-778-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HAMPTON ROAD",
            "address_2": "SUITE 200",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334855",
            "telephone_number": "603-775-7575",
            "fax_number": "603-778-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "RUSSELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-18",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.