Active NPI
Jennifer M Weichert, PT
- Physical Therapist
- Onalaska, WI
National Provider Identifier
1801134341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9640-24
- Practice address
- 1600 Main St
Onalaska, WI 54650-2838 - Phone
- (608) 783-4681
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9640-24 | WI | Primary |
Addresses
Primary practice location
1600 Main St
Onalaska, WI 54650-2838
Mailing address
1600 Main St
Onalaska, WI 54650-2838
Phone (608) 783-4681
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 |
|---|---|---|---|
| 9640-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1801134341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 MAIN ST",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546502838",
"telephone_number": "608-783-4681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MAIN ST",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546502838",
"telephone_number": "608-783-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEICHERT",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-17",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9640-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.