MEDICARE: CHRISTOPHER WHEELER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	05005282A	IN
2	225100000X	Physical Therapist	003101	KY

General Provider Information

NPI Number	:	1962842906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER WHEELER PT

Provider Business Mailing Address
First Line	:	124 HAWTHORNE LN
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46142-9430
Country	:	US
Telephone Number	:	317-332-9861
Fax Number	:	317-893-4453

Provider Business Practice Location Address
First Line	:	9300 STONESTREET RD
Second Line	:	SUITE 400
City	:	LOUISVILLE
State	:	KY
Zip	:	40272-2863
Country	:	US
Telephone Number	:	502-935-9776
Fax Number	:	502-935-9813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2013
Last Update Date	:	05/19/2020

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Directions to “ CHRISTOPHER WHEELER PT” Practice Location

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