Patricia Marie Wietnik, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-01818 Issued in KS

Practice address

6700 Antioch Rd
Suite #120
Overland Park, KS 66204-1497

Phone

(913) 652-9229

Fax

(888) 652-9198

NPI assigned

May 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Patricia Marie Wietnik Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Supplemental Health Care

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1124424981
  NPD (past)

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1679984470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 ANTIOCH RD",
            "address_2": "SUITE #120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041497",
            "telephone_number": "913-652-9229",
            "fax_number": "888-652-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ANTIOCH RD",
            "address_2": "SUITE #120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041497",
            "telephone_number": "913-652-9229",
            "fax_number": "888-652-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIETNIK",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-01818",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2006015594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WIETNIK",
            "middle_name": "MARIE",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bennye Kaye Wienecke
• Arthur S. Wientzen, M.D.
• Marlee Wier
• Brandon D Wiese, DC
• Douglas K Wiesner, ATC
• Amber Wiggans
• Jonathan Allen Wiggins, D.C.
• Lofton Cole Wiggs, CRNA
• Paige Wiggs
• Kiana Wigle

• Physical Therapy Assistant in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.