Meredith Widecan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018344 Issued in OH

Practice address

41 W Gore Rd
Erie, PA 16509-3621

Phone

(814) 454-2831

NPI assigned

Oct 13, 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

Other names 1

• Meredith Widecan Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinical Practice of Lecom Institute for Successful Living

  • Multi-Specialty Clinic/Center
  • Erie, PA
  • NPI 1326921487
  Medicare reassignment NPD

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1306444286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 W GORE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093621",
            "telephone_number": "814-454-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W GORE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093621",
            "telephone_number": "814-454-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDECAN",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mcwidecan@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5740 Dibble Rd",
            "city": "Kingsville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440489809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "WIDECAN",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Leonard John Whiteman, PHARMACIST
• Lauren Whitlow, PSYD
• Michelle Wick, LPC
• Eardly K P Wickramasinghe, MD
• Karin Wickwire
• Brian Douglas Wieczorek, RPH
• Ellen Arlene Wieczorek, RN
• Stephen M Wieczorek, DPM
• Shamim Chaparian Wienczkowski, PHARMD
• Victoria A Wiesner, CRNP

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.

Verify at the official NPI Registry.