Bridget Weidemoyer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00784800 Issued in NJ

Practice address

64 River Rd
Suite 1
East Hanover, NJ 07936-3536

Phone

(973) 428-1050

Fax

(973) 428-1051

NPI assigned

Jun 26, 2007

Sex

Female

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

Practice roles

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.

• Maureen Broderick Wilhelm LPT PA

  • Physical Therapist
  • Millburn, NJ
  • NPI 1114963063
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891991733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411847",
            "telephone_number": "973-467-7976",
            "fax_number": "973-467-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 RIVER RD",
            "address_2": "SUITE 1",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363536",
            "telephone_number": "973-428-1050",
            "fax_number": "973-428-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDEMOYER",
        "first_name": "BRIDGET",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00784800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Larissa Visconti
• Giulia Vitolo, MSOT
• Vvision LLC
• Christopher Walden, PA-C
• Megan Walsh
• Marisa Whelan, LCSW
• Karin L Wolosz, PT, DPT
• Nicholas Xanthos, OD
• Tina Yang, PHARM. D.
• Patrick Yates, LPC

• Physical Therapist in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.