Active NPI
Christopher Michael Wiedman, P.T.
- Physical Therapist
- Cedar Falls, IA
National Provider Identifier
1164558227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03378
- Practice address
- 5100 Prairie Pkwy
Suite 104
Cedar Falls, IA 50613-8155 - Phone
- (319) 222-2901
- Fax
- (319) 222-2991
- NPI assigned
- Feb 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 03378 | IA | Primary |
Addresses
Primary practice location
5100 Prairie Pkwy
Suite 104
Cedar Falls, IA 50613-8155
Mailing address
5100 Prairie Pkwy
Suite 104
Cedar Falls, IA 50613-8155
Phone (319) 222-2901
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1164558227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 PRAIRIE PKWY",
"address_2": "SUITE 104",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506138155",
"telephone_number": "319-222-2901",
"fax_number": "319-222-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 PRAIRIE PKWY",
"address_2": "SUITE 104",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506138155",
"telephone_number": "319-222-2901",
"fax_number": "319-222-2991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDMAN",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-25",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.