Provider Demographics
NPI:1861593279
Name:MWG, INC.
Entity type:Organization
Organization Name:MWG, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:419-474-3399
Mailing Address - Street 1:3949 SUNFOREST CT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4473
Mailing Address - Country:US
Mailing Address - Phone:419-474-3399
Mailing Address - Fax:419-474-5165
Practice Address - Street 1:3949 SUNFOREST CT
Practice Address - Street 2:SUITE 106
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4473
Practice Address - Country:US
Practice Address - Phone:419-474-3399
Practice Address - Fax:419-474-5165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA-3253224Z00000X
OHOTA-01013224Z00000X
OHOTA-01671224Z00000X
OHPT-09344225100000X
OHPT-009186225100000X
OHPT-01921225100000X
OHPTA-00164225200000X
OHPTA-6089225200000X
OHPTA-02357225200000X
OHOT-5068225X00000X
OHOT-5748225X00000X
OHOT-6668225X00000X
OHSP8218235Z00000X
OHSP8055235Z00000X
OHSP-8512235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2208864Medicaid
OH=========004OtherMEDICAL MUTUAL
OH=========00OtherBUREAU OF WORKERS COMP
OH2208864Medicaid
OH366706Medicare ID - Type Unspecified