Terry John Whieldon, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

79921 Issued in NY

Practice address

4063 North Buffalo Road
Orchard Park, NY 14127

Phone

(716) 662-2949

Fax

(716) 662-3673

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fitness Sports and Physical Therapy PC

  • Physical Therapist
  • Orchard Park, NY
  • NPI 1558322784
  Authorized official Same address or phone

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1316108889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 NORTH BUFFALO ROAD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-662-2949",
            "fax_number": "716-662-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 NORTH BUFFALO ROAD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-662-2949",
            "fax_number": "716-662-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIELDON",
        "first_name": "TERRY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "79921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011189901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NY",
            "identifier": "506103111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9352186",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western New York Ear, Nose & Throat, P.C.
• Western New York Immediate Medical Care LLC
• Western New York Pediatric Associates, LLP
• Guy M Whalen, M.D.
• Megan Wheeler
• Sarah Elizabeth White
• Barbara Y Whiteside, PA
• Patricia Whittall, SLP
• Carly Wicka, PA
• Chathura Sankalpa Wijewardena, M.D

• Physical Therapist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.