Ashley Wiesner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-05105 Issued in KS

Practice address

4400 W 115TH St
Leawood, KS 66211-2684

Phone

(913) 491-3681

NPI assigned

Jan 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1679963672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11528 RILEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 115TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662112684",
            "telephone_number": "913-491-3681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 NE Meadowview Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640641983",
            "country_code": "US",
            "telephone_number": "816-607-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIESNER",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2020-11-10",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014027201",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karly Brianne White, AUD
• Stephanie White, N.P.
• Aaron Whiteside
• Whole Child Therapy LLC
• Katelyn Marie Wiedeman, OTR/L, OTD
• Brenda Wilch
• Dennis M Wilcox, MD
• Megan Wilkens
• Zailey Wilkinson, OTR/L
• Traci Willard, NP

• Physical Therapist in Leawood, KS
• Providers in Leawood, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.