Active NPI
Kathy Nguyen Wiedeman
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1598250649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 10777 Nall Ave Ste 320
Overland Park, KS 66211 - Phone
- (913) 279-0243
- NPI assigned
- Jun 29, 2018
- Last updated
- Jan 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
10777 Nall Ave Ste 320
Overland Park, KS 66211
Mailing address
801 W Ann Arbor TRL Ste 220
Plymouth, MI 48170-6224
Phone (866) 991-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5600 Hedge Lane Ter
Shawnee, KS 66226-2255
Phone (816) 474-8877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickson Diveley Midwest Orthopaedic Clinic LLC | Current | Accepting new patients | |
| Dickson Diveley Midwest Orthopaedic Clinic LLC | Current | Accepting new patients |
Locations
3651 W 111th St
Overland Park, KS 66211
Phone (800) 876-5958
Organizations & group practices 3
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.
-
- Physical Therapist
- N Kansas City, MO
- NPI 1740273218
KS
-
- Orthopaedic Surgery Physician
- Leawood, KS
- NPI 1669421509
-
dba Kansas City Orthopedic Alliance
- Durable Medical Equipment & Medical Supplies
- Lenexa, KS
- NPI 1730946302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1598250649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W ANN ARBOR TRL STE 220",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706224",
"telephone_number": "866-991-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10777 NALL AVE STE 320",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66211",
"telephone_number": "913-279-0243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDEMAN",
"first_name": "KATHY",
"middle_name": "NGUYEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-29",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.