Kathryn Wiedeman, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P1 60040952 Issued in WA

Practice address

801 SE Park Crestt Ave
Vancouver, WA 98683

Phone

(360) 260-2200

NPI assigned

Feb 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1851782338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SE PARK CREST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831300",
            "telephone_number": "360-260-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SE PARK CRESTT AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-260-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEMAN",
        "first_name": "KATHRYN",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60040952",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160040952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Widman, ATC
• Marc Douglass Widmer
• Tami Widmer, MA, LMHC, LPC
• George E Wiebe, MD
• Bonnie Ann Wiebeck Sweetland, LAC
• Kimberly M Wiedman, RD
• Cody Wiench, MD
• Sharla Ann Wiest, RD, CD
• Katherine E Wiggin, ND
• Megan Lynn Wiggins, LMHCA

• Physical Therapy Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.