Active NPI
Casey Wieck, ATC, LMT
- Athletic Trainer
- Upper Arlington, OH
National Provider Identifier
1770903288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.003604
- Practice address
- 2368 Eastcleft Dr
Upper Arlington, OH 43221-1852 - Phone
- (614) 906-7766
- NPI assigned
- Apr 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT.003604 | OH | Primary |
| Massage Therapist | 225700000X | 33.014715-T-Z | OH |
Addresses
Primary practice location
2368 Eastcleft Dr
Upper Arlington, OH 43221-1852
Mailing address
2368 Eastcleft Dr
Upper Arlington, OH 43221-1852
Phone (614) 906-7766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT.003604 | OH | MD | Athletic Trainer |
| 33.014715-T-Z | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1770903288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2368 EASTCLEFT DR",
"city": "UPPER ARLINGTON",
"state": "OH",
"postal_code": "432211852",
"telephone_number": "614-906-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2368 EASTCLEFT DR",
"city": "UPPER ARLINGTON",
"state": "OH",
"postal_code": "432211852",
"telephone_number": "614-906-7766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIECK",
"first_name": "CASEY",
"credential": "ATC, LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-23",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT.003604",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.014715-T-Z",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Arlington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.