Jacqueline Heisey Weidman

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Practice address

345 W Grant St
Lancaster, PA 17603-3728

Phone

(717) 824-7730

NPI assigned

Dec 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1205423779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W GRANT ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033728",
            "telephone_number": "717-824-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W GRANT ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033728",
            "telephone_number": "717-824-7730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1497A S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033852",
            "country_code": "US",
            "telephone_number": "717-824-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "JACQUELINE",
        "middle_name": "HEISEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wenxin Thomas Wei, M.D.
• Weibel Orthodontics, PC
• Paul Edwin Weibel, D.M.D.
• Stephen J Weibel, DMD
• Angela Erb Weidman, C.N.M.
• Sara Weidman, PTA
• Amanda Elizabeth Weidner, NP
• Robyn Weidner
• Jane L. Weierbach, PH.D.
• John Anthony Weierbach II, DMD

• Pediatric Physical Therapist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Pediatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.