Jody Anne Weidenhammer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE1002109 Issued in PA

Practice address

100 Mount Allen Dr
Mechanicsburg, PA 17055-6171

Phone

(717) 697-4666

NPI assigned

Aug 8, 2020

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1689284150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FARM HOUSE LN",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170118303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOUNT ALLEN DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556171",
            "telephone_number": "717-697-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDENHAMMER",
        "first_name": "JODY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": "TE",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1002109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Waters
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• Joel Andrew Watts, MS, LAT, ATC
• Jennifer Eileen Weber, D.O.
• Wegmans Food Markets, Inc.
• Heather Christina Weidman, ATC, MAT, CEAS
• Michelle Chavanne Weirich
• Weis Markets Inc
• Weis Markets Inc
• Weiss Physical Therapy Associates

• Physical Therapy Assistant in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.