Active NPI
Richard Joseph Wieand, PT
- Physical Therapist
- West Seneca, NY
National Provider Identifier
1053577643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030432-1
- Practice address
- 560 Center Rd
West Seneca, NY 14224-2157 - Phone
- (716) 674-1509
- Fax
- (716) 674-1787
- NPI assigned
- Aug 3, 2008
- Sex
- Male
- 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 | 030432-1 | NY | Primary |
Addresses
Primary practice location
560 Center Rd
West Seneca, NY 14224-2157
Mailing address
560 Center Rd
West Seneca, NY 14224-2157
Phone (716) 674-1509
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000530642001 | Other | NY | BLUE CROSS AND BLUE SHIELD OF WNY |
| RB9287 | Other | NY | MEDICARE |
| 9315295 | Other | NY | INDEPENDENT HEALTH |
| 1053577643 | Other | NY | UNIVERA HEALTH CARE |
| 161585629 | Other | NY | MANAGE PHYSICAL NETWORK(EMPIRE PLAN) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030432-1 | NY | MD | Physical Therapist |
| 030432 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Seneca Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
| Performance Sports Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- West Seneca, NY
- NPI 1700196623
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230076800000",
"number": "1053577643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 CENTER RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242157",
"telephone_number": "716-674-1509",
"fax_number": "716-674-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 CENTER RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242157",
"telephone_number": "716-674-1509",
"fax_number": "716-674-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEAND",
"first_name": "RICHARD",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-03",
"last_updated": "2008-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030432-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD OF WNY",
"identifier": "000530642001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "RB9287",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9315295",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTH CARE",
"identifier": "1053577643",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGE PHYSICAL NETWORK(EMPIRE PLAN)",
"identifier": "161585629",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.