Corey Joseph Weydert, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5436 Issued in WI

Practice address

507 S Monroe St
Lancaster, WI 53813-2054

Phone

(608) 723-3236

Fax

(608) 723-3379

NPI assigned

Dec 14, 2009

Sex

Male

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 WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Grant Regional Health Center, Inc.

  • Critical Access Hospital
  • Lancaster, WI
  • NPI 1255339867
  Medicare reassignment NPD
• Grant Regional Health Center, Inc

  • Rural Health Clinic/Center
  • Lancaster, WI
  • NPI 1356776710
  NPD
• Grant Regional Health Center, Inc

  • Family Medicine Physician
  • Fennimore, WI
  • NPI 1659060077
  NPD

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1700115102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MONROE ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132099",
            "telephone_number": "608-723-3236",
            "fax_number": "608-723-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S MONROE ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132054",
            "telephone_number": "608-723-3236",
            "fax_number": "608-723-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYDERT",
        "first_name": "COREY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-14",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Walton
• Philip Joseph Wegmann, D.D.S.
• Wegmann&Farmer Dental Health Center
• Teri L Welter Knoke, PHARMD
• Rebecca Lee Welter, R.D.
• Ronald Joseph White, DO
• Whitty Chiropractic, Inc.
• David Michael Whitty, D.C.
• Mallory Wieland
• Betsy Lynn Williams, MS CCC-SLP

• Physical Therapist in Lancaster, WI
• Providers in Lancaster, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.