Megan Wieloch, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601002381 Issued in MI

Practice address

8400 N Beck Rd
Canton, MI 48187-1210

Phone

(734) 756-1778

NPI assigned

Apr 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1104313659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE DR STE 113",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114279",
            "telephone_number": "734-756-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 N BECK RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871210",
            "telephone_number": "734-756-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELOCH",
        "first_name": "MEGAN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002381",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINING LICENSE",
            "identifier": "2601002381",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann White, MA, LPC
• Jonnell Whitekus, PHARMD, RPH
• Megan Width, DDS
• Robert Wiedemann
• Sarah Wiegand
• Wild Blooms Therapy LLC
• Devin Jade Wiley I
• Christine Denise Wilkinson, LPN
• Patricia Lynn Wilkinson, LMSW, ACSW
• Theresa Wilkinson

• Athletic Trainer in Canton, MI
• Providers in Canton, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.