DOUGLAS BRUCE WYATT
NPI 1174094437
Physical Therapist in Ann Arbor, MI

Active since December 16, 2018Accepts Medicare Assignment
2570 JACKSON AVE STE C, ANN ARBOR, MI 48103(734) 823-7820(734) 823-7821 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Dec 16, 2018 (2 updates tracked since 2018).

About Douglas Bruce Wyatt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS BRUCE WYATT (NPI 1174094437) is an individual physical therapist in Ann Arbor, Michigan, licensed in Michigan (5501018165) and active in the NPI registry since December 2018. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1174094437
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDOUGLAS BRUCE WYATT
Location Address2570 JACKSON AVE STE CAnn Arbor, MI 48103-3853
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-6200
Fax(734) 823-7821
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 16, 2018
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
NPI 1174094437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MI · 5501018165
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2570 JACKSON AVE STE C, Ann Arbor, MI 48103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Douglas Bruce Wyatt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820592983
PECOS Enrollment IDI20250919004321

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2570 JACKSON AVE STE C
ANN ARBOR, MI 48103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Wyatt's NPI number?

The NPI number for Douglas Wyatt is 1174094437. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Douglas Wyatt located?

Douglas Wyatt practices at 2570 Jackson Ave Ste C, Ann Arbor, MI 48103. The listed phone number is (734) 823-7820.

What is Douglas Wyatt's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Douglas Wyatt enrolled in Medicare?

Yes. Douglas Wyatt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Wyatt accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Douglas Wyatt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Wyatt was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.