Provider Demographics
NPI:1386856250
Name:WESSEL, ROBERT (RPT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:WESSEL
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 7TH AVE S
Mailing Address - Street 2:STE 111
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-2862
Mailing Address - Country:US
Mailing Address - Phone:205-838-3701
Mailing Address - Fax:
Practice Address - Street 1:2808 7TH AVE S
Practice Address - Street 2:STE 111
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2862
Practice Address - Country:US
Practice Address - Phone:205-259-3991
Practice Address - Fax:205-638-2468
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH 2462225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051049581OtherBCBS OF ALABAMA - SHELBY BAPTIST
AL051049583OtherBCBS OF ALABAMA - UAB WEST
AL051049582OtherBCBS OF ALABAMA - ST. VINCENT'S BIRMINGHAM
AL515-15290OtherMCE BCBS
AL051049580OtherBCBS OF ALABAMA - TRINITY MEDICAL CENTER
AL166927000OtherU.S. DEPARTMENT OF LABOR
AL051049579OtherBCBS OF ALABAMA - ST. VINCENT'S EAST
AL515-38929OtherSCR BCBS
ALP00815303OtherRAILROAD MEDICARE
AL051049580OtherBCBS OF ALABAMA - TRINITY MEDICAL CENTER
ALP00815303OtherRAILROAD MEDICARE