Active NPI
Jordan Weidler
- Developmental Therapist
- North Wales, PA
National Provider Identifier
1871236182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 206 Chestnut LN
North Wales, PA 19454-1304 - Phone
- (410) 667-7200
- NPI assigned
- Apr 14, 2022
- Last updated
- Apr 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
206 Chestnut LN
North Wales, PA 19454-1304
Mailing address
847 Franklin Dr
Manheim, PA 17545-9787
Phone (484) 721-1424
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1871236182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 FRANKLIN DR",
"city": "MANHEIM",
"state": "PA",
"postal_code": "175459787",
"telephone_number": "484-721-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 CHESTNUT LN",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541304",
"telephone_number": "410-667-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDLER",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-14",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Wales, PA
- Elizabeth Walton
- Warby Parker Inc.
- Warwick Family Based Program, Inc.
- We Win Abundant Home Care LLC
- Wegmans Food Markets, Inc. (Wegmans Pharmacy #104)
- Wellness Hospice and Palliative Care
- Wellness Medical Services LLC
- Wellness Medical SVCS PC
- Wellness Pharmacy Services LLC (Wellness First Pharmacy)
- Jonathan Whitaker, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.