Heidi Elizabeth Bares Weidner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10420-024 Issued in WI

Practice address

5150 N Port Washington Rd
#130
Glendale, WI 53217-5474

Phone

(414) 418-6578

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apps Chiropractic and Wellness Center Inc

  • Chiropractor
  • Wauwatosa, WI
  • NPI 1336276625
  NPD (past)
• Evolution Exercise & Spine Center

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1558306332
  NPD (past)
• Wisconsin Orthopedic Rehabilitation Consultants, Inc.

  • Physical Therapist
  • Thiensville, WI
  • NPI 1255544862
  NPD (past)

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1528200599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W STATE ST",
            "address_2": "UNIT D 136",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532132827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N PORT WASHINGTON RD",
            "address_2": "#130",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532175474",
            "telephone_number": "414-418-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "HEIDI",
        "middle_name": "ELIZABETH BARES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10420-024",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 24498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Alistair Wasielewski
• Watertower Pain Consultants, SC
• Sephora Abigail Wawa Egbuche
• Anne Zarb Weber, D.D.S.
• Caitlin Weber, MS, LMFT
• Robert L. Welker, PHD
• Wellspring Wisconsin LLC
• Candace Wendlick, LCSW
• John Michael Werwie, DDS
• Nancy Lynn Wesling, PT.

• All providers in Glendale, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.