| Michael William Wirtz, DPT | |
|
75 W Wesmark Blvd, Sumter, SC 29150-1955 | |
| (803) 938-5395 | |
| (803) 938-5396 |
| Full Name | Michael William Wirtz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 75 W Wesmark Blvd, Sumter, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205481173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305213054 (Virginia) | Secondary |
| 225100000X | Physical Therapist | 12197 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bodies In Motion Physical Therapy Ii, Llc | 9830296367 | 10 |
| Provider Name | Bodies In Motion Physical Therapy Ii, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740361641 PECOS PAC ID: 9830296367 Enrollment ID: O20070517000693 |
| Provider Name | Jackson Clinics Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639594831 PECOS PAC ID: 2860623295 Enrollment ID: O20140327000554 |
| Provider Name | Professional Sportscare & Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20160418000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael William Wirtz, DPT 618 E Market St, Mahanoy City, PA 17948-2836 Ph: (570) 778-7209 | Michael William Wirtz, DPT 75 W Wesmark Blvd, Sumter, SC 29150-1955 Ph: (803) 938-5395 |
Kristen Anne Guzak, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-938-5395 Fax: 803-938-5396 | |
Joshua Frey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-938-5395 | |
Teresa Marie Jemming, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3300 Butterworth Cir, Sumter, SC 29154 Phone: 803-494-5663 | |
Mr. James Leonard Sease, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1215 Alice Dr, Sumter, SC 29150 Phone: 803-774-5201 | |
Ms. Megan Lynn Kolbe, BS, MPT, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-9574 | |
Shawna Hilferty, MPT, CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 75 W Wesmark Blvd, Sumter, SC 29150 Phone: 803-938-5395 Fax: 803-938-5396 |