Active NPI
Drew Eric Widing, PT
- Orthopedic Physical Therapist
- Wpafb, OH
National Provider Identifier
1639166630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT-005370
- Practice address
- 2800 Q St
BLDG 824
Wpafb, OH 45433-7947 - Phone
- (937) 255-1236
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT-005370 | PA | Primary |
Addresses
Primary practice location
2800 Q St
BLDG 824
Wpafb, OH 45433-7947
Mailing address
1801 Burgundy LN
Dayton, OH 45459-3401
Phone (937) 291-1931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-005370 | PA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639166630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 BURGUNDY LN",
"city": "DAYTON",
"state": "OH",
"postal_code": "454593401",
"telephone_number": "937-291-1931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 Q ST",
"address_2": "BLDG 824",
"city": "WPAFB",
"state": "OH",
"postal_code": "454337947",
"telephone_number": "937-255-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDING",
"first_name": "DREW",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT-005370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wpafb, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.