Michelle Lynn Weimer, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1850 Issued in NE

Practice address

1820 Illinois St
Sidney, NE 69162-1425

Phone

(308) 225-1870

Fax

(888) 908-5481

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Soar Pediatric Therapy, LLC

  • Physical Therapy Clinic/Center
  • Sidney, NE
  • NPI 1013314558
  NPD (past) Authorized official
• Baird Physical Therapy LLC

  • Physical Therapist
  • Scottsbluff, NE
  • NPI 1902037955

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053573410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691620031",
            "telephone_number": "308-225-1870",
            "fax_number": "888-908-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 ILLINOIS ST",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621425",
            "telephone_number": "308-225-1870",
            "fax_number": "888-908-5481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 W 38th St",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693614626",
            "country_code": "US",
            "telephone_number": "308-633-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIMER",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NE",
            "license": "1850",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025780200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026468501",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Ward
• Susan Ward
• Kelsey Dawn Watchorn, PLIMHP
• Christina Weaver-Tucker
• Michelle Weegens
• Alicia Louise Weinbender
• Alisha Jane Wells
• Korey Leigh Wells
• Deeona Ej Wernsman, RDN, GSC, LMNT
• Western Drug Co

• Physical Therapist in Sidney, NE
• Providers in Sidney, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.