Active NPI
Rebecca Wietecki
- Physical Therapist
- Somerset, KY
National Provider Identifier
1346923786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019106
- Practice address
- 305 Langdon St
Somerset, KY 42503-2750 - Phone
- (606) 679-7441
- NPI assigned
- Aug 11, 2023
- Sex
- Female
- 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 | PT019106 | OH | Primary |
Addresses
Primary practice location
305 Langdon St
Somerset, KY 42503-2750
Mailing address
4230 Lancelot Rd
Toledo, OH 43623-2520
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019106 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1346923786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 LANCELOT RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436232520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 LANGDON ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032750",
"telephone_number": "606-679-7441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIETECKI",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT019106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.