Individual provider Active NPI

Richard Joseph Wieand, PT

  • Physical Therapist
  • West Seneca, NY
National Provider Identifier
1053577643
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030432-1 Issued in NY
Practice address
560 Center Rd
West Seneca, NY 14224-2157
Phone
(716) 674-1509
Fax
(716) 674-1787
NPI assigned
Aug 3, 2008
Last updated
Dec 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

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

LicenseStateTypeSpecialty
030432-1NYMDPhysical Therapist
030432NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": [],
    "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.

Verify at the official NPI Registry.