Individual provider Active NPI

Wiebke Powers

  • Physical Therapy Assistant
  • Concord, NH
National Provider Identifier
1386163046
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1009 Issued in NH
Practice address
20 Maitland St
Concord, NH 03301-3534
Phone
(603) 224-1319
NPI assigned
Sep 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1009 NH Primary

Addresses

Primary practice location

20 Maitland St
Concord, NH 03301-3534

Mailing address

469 Tanglewood Dr
Henniker, NH 03242-6144
Phone (603) 475-5596

Other practice location 1

469 Tanglewood Drive
Henniker, NH 03242
Phone (603) 475-5596

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

LicenseStateTypeSpecialty
1009NHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386163046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 TANGLEWOOD DR",
            "city": "HENNIKER",
            "state": "NH",
            "postal_code": "032426144",
            "telephone_number": "603-475-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAITLAND ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013534",
            "telephone_number": "603-224-1319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "469 Tanglewood Drive",
            "address_purpose": "LOCATION",
            "city": "Henniker",
            "state": "NH",
            "postal_code": "03242",
            "country_code": "US",
            "telephone_number": "603-475-5596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "WIEBKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.