Michelle Weidner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3683 Issued in NE

Practice address

4614 S 132ND St
Omaha, NE 68137-1764

Phone

(402) 330-3211

NPI assigned

Apr 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Physical Therapy Your Way PLLC

  • Physical Therapy Clinic/Center
  • Lorton, VA
  • NPI 1245741024
  NPD
• SF Sports MD & Rehab

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1619470861
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1821051210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9447B LORTON MARKET ST",
            "address_2": "#250",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791963",
            "telephone_number": "703-372-5716",
            "fax_number": "703-372-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 S 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371764",
            "telephone_number": "402-330-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Kingstowne Village Pkwy",
            "address_2": "#301",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223155880",
            "country_code": "US",
            "telephone_number": "703-924-2650",
            "fax_number": "703-924-2653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3325",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208560",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477701",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Weich-Petti, PLMHP
• Peggy L Weich
• Kurt D Weidauer, DPT
• Brenda Weidner, MD
• Chelsea Christine Weidner, BS
• Destinee Nicole Weil
• Taylor Lyn Weilage
• Matthew Charles Weiland, D.O.
• Nicholas Andrew Weiland, D.O.
• Mekenzie Marie Weilenman

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.