Heather Christina Weidman, ATC, MAT, CEAS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096003022 Issued in IL

Practice address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

Phone

(888) 735-6332

NPI assigned

Nov 2, 2016

Sex

Female

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

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": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1831641109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205L MULBERRY LN",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604556000",
            "telephone_number": "708-307-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "888-735-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "HEATHER",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "ATC, MAT, CEAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096003022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Watson, DPT
• Joel Andrew Watts, MS, LAT, ATC
• Jennifer Eileen Weber, D.O.
• Wegmans Food Markets, Inc.
• Jody Anne Weidenhammer, PTA
• Michelle Chavanne Weirich
• Weis Markets Inc
• Weis Markets Inc
• Weiss Physical Therapy Associates
• John Thomas Weiss, DPT

• Athletic Trainer in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.