Robert Wiegand Jr., D.P.T.
Individual provider Active NPI Physical Therapist · Trooper, PA
NPI 1366527723 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366527723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT018209 (PA)
- Practice address
- 2605 Egypt Rd
Suite 104
Trooper, PA 19403-2317 - Phone
- (610) 666-1702
- Fax
- (610) 666-1726
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018209 | PA | Yes |
Addresses
Primary practice location
2605 Egypt Rd
Suite 104
Trooper, PA 19403-2317
Mailing address
520 Philadelphia St
Indiana, PA 15701-3902
Phone (724) 463-7478
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WI1886723 | Other | PA | HIGHMARK BLUE SHIELD |
| 2749209000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 50060610 | Other | PA | CAPITAL BLUE CROSS/KHPC |
| 44418 | Other | PA | HEATH AMER/HEALTH ASSUR |
| 7735811 | Other | PA | AETNA |
Other providers in Trooper, PA
- Sangeeta Sharma
- Rebecca Frederick Sheaffer
- Suburban Eye Care Optometric
- Therese C. Deschenes, OD; PC
- Mary Jo Ann Thomas
All providers in Trooper, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.