Robert C Wiederien, PT, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Practice address

500 Newton Rd
1-256 Medical Education Building
Iowa City, IA 52242-5224

Phone

(808) 295-3309

NPI assigned

Sep 22, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1497741896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CHAD CT",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522413228",
            "telephone_number": "808-295-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NEWTON RD",
            "address_2": "1-256 MEDICAL EDUCATION BUILDING",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522425224",
            "telephone_number": "808-295-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDERIEN",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose Wick, PHARM D
• Katie Jean Wick, ARNP
• Jordan R Widmer, NNP B.C.
• Keely Renee Widmer
• John A Widness, MD
• Adam Garrett Wiegmann, PHARM.D.
• Jenna Wieland, PHARMD
• Julie Annette Wieland, AUD
• Veronica Wieland, ARNP
• Marisa J Wier, RN

• Sports Physical Therapist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Sports Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.