Veronica Lynne Wildermuth

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018515 Issued in OH

Practice address

10245 Brecksville Rd
Brecksville, OH 44141-3341

Phone

(330) 748-4807

NPI assigned

Apr 16, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• The Metrohealth System

  dba Metrohealth Professional Group

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896
  Medicare reassignment
• Therapy and Wellness Connection

  • Speech-Language Pathologist
  • Brecksville, OH
  • NPI 1205263936
  NPD

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1548903644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 JANETTE AVE",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182220",
            "telephone_number": "440-488-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413341",
            "telephone_number": "330-748-4807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1908 Janette Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland Heights",
            "state": "OH",
            "postal_code": "441182220",
            "country_code": "US",
            "telephone_number": "440-488-3349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDERMUTH",
        "first_name": "VERONICA",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-16",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Welcore
• Adam C Wendt, MPT
• Jodi Lee Whipkey, PT, DPT
• Dawn Marie Whitehair, APRN, MSN, PMHNP-BC
• Madison Whitley, M.A., BCBA, COBA
• Nicole E Wiley, LISW
• Donald Charles Willett, PHARMACIST
• Susan E. Wilson, D.D.S.
• Nicole Wise, RDH
• Kalyn Wisniewski, DPT

• Physical Therapist in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.