Katelin Renee Wiebersch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

091996 Issued in IA

Practice address

521 S 14TH St
Fort Dodge, IA 50501-4914

Phone

(563) 542-0639

NPI assigned

Jun 1, 2023

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 IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Younker Rehabilitation Therapy Services, LLC

  • Physical Therapist
  • Ankeny, IA
  • NPI 1447797113
  Medicare reassignment NPD
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  NPD (past)

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1659064848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S 14TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014914",
            "telephone_number": "563-542-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S 14TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014914",
            "telephone_number": "563-542-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBERSCH",
        "first_name": "KATELIN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "091996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian L Welch, MD
• Gloria R West, RN
• Joni Whipple, CRNA
• Hannah Margot White, ARNP
• Tricia Lynn Widlund, A.R.N.P.
• Michael J Willerth, MD
• Amanda Marie Williams, OTR
• Amanda Kathryn Wilson, RN, BSN, CNOR
• Grant Wilson, PA-C
• James Matthew Wilson, M.D.

• Physical Therapist in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.