JASON TYLER WIERSEMA (D.P.T.) – Physical Therapist, NPI 1225347321

JASON TYLER WIERSEMA (D.P.T.) is a healthcare provider. based in Battle creek, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials D.P.T.. They hold a License No. 5501015381 (MI). The NPI Number for JASON TYLER WIERSEMA (D.P.T.) is 1225347321

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
JASON TYLER WIERSEMA (D.P.T.)
NPI
1225347321
Phone
(269) 966-5600
Address
5500 ARMSTRONG RD
Enumeration Date
7 October 2010
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692342942
Graduation Year
2010 (16 years ago)
PAC ID
1759811714
Group Practice PAC ID
8921065707
Professional Enrollment ID
I20250206001960
Address ID
MI490012725KA1707XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for JASON TYLER WIERSEMA (D.P.T.)

  • 5500 ARMSTRONG RD

    BATTLE CREEK, MI 490377314

    Phone: (269) 966-5600

    Fax: (269) 223-5166

    Type: Mailing

  • 1707 S PARK ST STE 100

    KALAMAZOO, MI 490012725

    Phone: (269) 234-2942

    Fax: (866) 521-5945

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250206001960IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49037)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921065707View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeOR
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

How do I look up JASON TYLER WIERSEMA (D.P.T.) by NPI?
Use NPI 1225347321 when you need to reference JASON TYLER WIERSEMA (D.P.T.) in forms, claims, or directories.
Is JASON TYLER WIERSEMA (D.P.T.) active in the national directory?
JASON TYLER WIERSEMA (D.P.T.)'s public NPI profile is in an active state.
Can you summarize JASON TYLER WIERSEMA (D.P.T.)'s specialty in plain language?
Clinically, the directory lists JASON TYLER WIERSEMA (D.P.T.) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does JASON TYLER WIERSEMA (D.P.T.) practice in Michigan?
You will see Battle Creek, Michigan on file for JASON TYLER WIERSEMA (D.P.T.) alongside any extra practice locations.
How can I contact JASON TYLER WIERSEMA (D.P.T.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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