Lynne M Weidl, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8426 Issued in MA

Practice address

80 Denslow Rd
East Longmeadow, MA 01028-3103

Phone

(413) 526-9969

Fax

(413) 526-9960

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Pioneer Spine and Sports Physicians PC

  • Physical Medicine & Rehabilitation Physician
  • West Springfield, MA
  • NPI 1346282621
  NPD (past)
• Pioneer Spine and Sports Physicians, PC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1346427713
  NPD (past)
• Anb-Ptsma Holdings, Inc.

  • Physical Therapist
  • West Hartford, CT
  • NPI 1659453371
  NPD (past)
• Connecticut Spine and Sports Physicians, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Wallingford, CT
  • NPI 1154363653
  NPD (past)
• Physical Therapy Plus LLC

  • Physical Therapy Clinic/Center
  • Enfield, CT
  • NPI 1730113051

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1609944818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 DENSLOW RD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283103",
            "telephone_number": "413-526-9969",
            "fax_number": "413-526-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 DENSLOW RD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283103",
            "telephone_number": "413-526-9969",
            "fax_number": "413-526-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDL",
        "first_name": "LYNNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y67404",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly M Wallace
• Jennifer Gavrillen Walsh, D.M.D.
• Avery Grace Warner, PA-C
• Shelly Warren, LICSW
• June Watts, LPC
• Welcoming Safe Space Therapeutic Services, Inc.
• Priscilla Seibles Weldon, LMHC, LPC
• Wellness Within LLC
• Shannon E West-Buxton, PNP
• Western Massachusetts Podiatry Associates, P.C.

• Physical Therapist in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.