Provider Demographics
NPI:1922488683
Name:WHEELER, NICHOLAS J (DPT)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:J
Last Name:WHEELER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:NICK
Other - Middle Name:
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:426 S 4TH ST
Mailing Address - Street 2:REHABPARTNERS, P.C.
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5259
Mailing Address - Country:US
Mailing Address - Phone:256-543-2981
Mailing Address - Fax:256-543-0277
Practice Address - Street 1:426 S 4TH ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5259
Practice Address - Country:US
Practice Address - Phone:256-543-2981
Practice Address - Fax:256-543-0277
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-0778225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist