Active NPI
Michelle Karen Wieger, P.T.
- Physical Therapist
- Harrisburg, PA
National Provider Identifier
1164483756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006001L
- Practice address
- 450 Powers Ave
Lower Level
Harrisburg, PA 17109-5933 - Phone
- (717) 920-4950
- Fax
- (717) 920-4955
- NPI assigned
- Mar 31, 2006
- Last updated
- Sep 23, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006001L | PA | Primary |
| Physical Therapist | 225100000X | 40QA01151700 | NJ |
Addresses
Primary practice location
450 Powers Ave
Lower Level
Harrisburg, PA 17109-5933
Mailing address
950 Hecks Dr
Dauphin, PA 17018-9453
Phone (717) 921-9039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101091817 0001 | Medicaid | PA |
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 |
|---|---|---|---|
| PT006001L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1164483756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 HECKS DR",
"city": "DAUPHIN",
"state": "PA",
"postal_code": "170189453",
"telephone_number": "717-921-9039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 POWERS AVE",
"address_2": "LOWER LEVEL",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095933",
"telephone_number": "717-920-4950",
"fax_number": "717-920-4955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEGER",
"first_name": "MICHELLE",
"middle_name": "KAREN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006001L",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01151700",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101091817 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.