Krista Jean Wieneke

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6686 Issued in MN

Practice address

14440 28TH PL N Ste 200
Plymouth, MN 55447-4854

Phone

(612) 707-0169

Fax

(612) 465-1603

NPI assigned

Apr 10, 2007

Last updated

Jan 9, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Plymouth, MN
  • NPI 1871037630

  Physical Therapist

  NPD
• Specific Family Chiropractic, LLC

  • Chiropractor
  • Maplewood, MN
  • NPI 1497821433
  NPD

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1477676799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 FAIRMOUNT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 28TH PL N STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474854",
            "telephone_number": "612-707-0169",
            "fax_number": "612-465-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENEKE",
        "first_name": "KRISTA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Sleep Associates (Whitney Sleep Center)
• Whitney Sleep Associates LLC (Whitney Sleep Center)
• Courtney Wade Whitney, D.O.
• Nathan Michael Wick, DO
• Thane David Widmer, DPT
• Jennifer Lynn Wiita, CRNA
• Wild Flower Health Care Services, Inc.
• Mark Steven Wilke, M.D.
• Courtney Elizabeth Wilkins, RN
• Bridget Pauline Williams, PHARMD

• Physical Therapist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.