Andrew A Wiegand, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501303671 Issued in MI

Practice address

5481 East Apple Ave
Suite 202
Muskegon, MI 49442-3065

Phone

(231) 722-5661

Fax

(231) 722-5660

NPI assigned

Jan 10, 2025

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1881404952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 COVE STREET",
            "address_2": "SUITE 202",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "49456",
            "telephone_number": "616-847-1280",
            "fax_number": "616-847-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 EAST APPLE AVE",
            "address_2": "SUITE 202",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423065",
            "telephone_number": "231-722-5661",
            "fax_number": "231-722-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGAND",
        "first_name": "ANDREW",
        "middle_name": "A",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Therese Whyte, DO
• Kim Wickman, RN
• Cassandra Wieckhorst, DDS
• Joanna Wieckowska, DO
• Jennie Dianne Wiedman
• Diane L Wiegand, LMSW ACSW
• Heather Lynn Wiegand, LPC
• Sarah Elizabeth Wierenga, RN
• Lenore Wieschowski
• Josse Wieten

• Physical Therapist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.