Healthcare Provider Details

I. General information

NPI: 1013058007
Provider Name (Legal Business Name): JOHN S. WHEELER PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5007 E OAKVIEW DR
DOYLESTOWN PA
18901-1291
US

IV. Provider business mailing address

5007 E OAKVIEW DR
DOYLESTOWN PA
18901-1291
US

V. Phone/Fax

Practice location:
  • Phone: 215-205-9442
  • Fax:
Mailing address:
  • Phone: 215-205-9442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QAO0633100
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: