Active NPI
Megan Catherine Weidlich, DPT
- Physical Therapist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60291071
- Practice address
- 1700 Westlake Ave NE Suite 400
Seattle, WA 98109-3606 - Phone
- (425) 658-4980
- Fax
- (425) 658-4977
- NPI assigned
- Nov 7, 2012
- Last updated
- Jun 26, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60291071 | WA | Primary |
Addresses
Primary practice location
1700 Westlake Ave NE Suite 400
Seattle, WA 98109-3606
Mailing address
8630 164TH Ave NE Ste 203
Redmond, WA 98052-3606
Phone (425) 658-4980
Other practice location 1
5410 California Ave SW
Suite 101
Seattle, WA 98136-1562
Phone (206) 913-8082
Other practice location 2
5410 California Ave SW
Suite 101
Seattle, WA 98136-1562
Phone (206) 913-8082
Other practice location 3
8630 164th Ave NE Ste 203
Redmond, WA 98052-3606
Phone (425) 658-4980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60291071 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root and Realign, LLC | Current | 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.
-
- Physical Therapy Clinic/Center
- Bay St Louis, MS
- NPI 1689467656
-
- Physical Therapist
- Redmond, WA
- NPI 1497154504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1215281563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8630 164TH AVE NE STE 203",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523606",
"telephone_number": "425-658-4980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WESTLAKE AVE NE SUITE 400",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981093606",
"telephone_number": "425-658-4980",
"fax_number": "425-658-4977"
}
],
"practiceLocations": [
{
"address_1": "5410 California Ave SW",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981361562",
"country_code": "US",
"telephone_number": "206-913-8082",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5410 California Ave SW",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981361562",
"country_code": "US",
"telephone_number": "206-913-8082",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8630 164th Ave NE Ste 203",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "WA",
"postal_code": "980523606",
"country_code": "US",
"telephone_number": "425-658-4980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIDLICH",
"first_name": "MEGAN",
"middle_name": "CATHERINE",
"name_prefix": "Miss",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-07",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60291071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.