Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Vicki Lynne Wiesel

Individual provider Physical Therapist · NPI 1457117731

Mrs. Vicki Lynne Wiesel is a Physical Therapist in Private Practice in Holyoke, Massachusetts. Qualified in 1999, 27 years ago. Practices with Preferred Therapy Outpatient Services of MA LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
27
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

12 Gamelin St
Holyoke, MA 01040-4080
Phone: (413) 420-2512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL13382 (MA)

Record details

NPI number1457117731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Preferred Therapy Outpatient Services Of Ma Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Holyoke