Active NPI
Christine Weidemann, DPT
- Physical Therapist
- Fountain Valley, CA
National Provider Identifier
1023328416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 36992
- Practice address
- 10900 Warner Avenue #111
Fountain Valley, CA 92708-3846 - Phone
- (714) 964-3337
- Fax
- (714) 964-8806
- NPI assigned
- Oct 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 36992 | CA | Primary |
Addresses
Primary practice location
10900 Warner Avenue #111
Fountain Valley, CA 92708-3846
Mailing address
10900 Warner Avenue #111
Fountain Valley, CA 92708-3846
Phone (714) 964-3337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Corporate Plaza Dr
Suite 200
Newport Beach, CA 92660-7953
Phone (949) 722-7374
485 E 17TH St
Suite 650
Costa Mesa, CA 92627-4706
Phone (949) 722-7374
6865 Alton Pkwy
Suite 110
Irvine, CA 92618-3740
Phone (949) 679-2933
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.28 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 54.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 36992 | CA | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Fountain Valley, CA
- NPI 1548329519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1023328416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 WARNER AVENUE #111",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083846",
"telephone_number": "714-964-3337",
"fax_number": "714-964-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 WARNER AVENUE #111",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083846",
"telephone_number": "714-964-3337",
"fax_number": "714-964-8806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDEMANN",
"first_name": "CHRISTINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-19",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 36992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.