Joshua James Wiegmann, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

096797 Issued in LA

Practice address

1055 Saint Charles Ave
New Orleans, LA 70130-3941

Phone

(504) 293-2454

Fax

(504) 558-1922

NPI assigned

Jun 18, 2018

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)

Enrolled

State licenses

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1578057154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVER RD STE 112",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701214226",
            "telephone_number": "504-828-7696",
            "fax_number": "504-828-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SAINT CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303941",
            "telephone_number": "504-293-2454",
            "fax_number": "504-558-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGMANN",
        "first_name": "JOSHUA",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "096797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nimmi Nimesha Wickramasuriya, M.D.
• Christian Widdows, M.D.
• Kyle Emily Widmer, M.D.
• Brannon Elizabeth Wiedemann, M.D.
• Trent Matthew Wiedemann
• Dustin Wielt, PH.D.
• Jeffrey Grant Wiese, MD
• Angela R. Wiggins, MSW, LCSW-BACS
• Katherine Wikrent, MS, PLPC
• Patrice Wilber

• Physical Therapist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.