Active NPI
Cheri Lynn Wieland, PT
- Pediatric Physical Therapist
- Rescue, CA
National Provider Identifier
1902039118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 25931
- Practice address
- 3498 Green Valley Rd
Rescue, CA 95672 - Phone
- (916) 337-5587
- NPI assigned
- Sep 3, 2009
- Last updated
- May 20, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 25931 | CA | Primary |
Addresses
Primary practice location
3498 Green Valley Rd
Rescue, CA 95672
Mailing address
3741 Four Springs Dr
Rescue, CA 95672-9552
Phone (916) 337-5587
Other practice location 1
3205 Hurley Way
Sacramento, CA 95864-3853
Phone (916) 485-6711
Other names 1
- Cheri Lynn Bates
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25931 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526774400000",
"number": "1902039118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3741 FOUR SPRINGS DR",
"city": "RESCUE",
"state": "CA",
"postal_code": "956729552",
"telephone_number": "916-337-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3498 GREEN VALLEY RD",
"city": "RESCUE",
"state": "CA",
"postal_code": "95672",
"telephone_number": "916-337-5587"
}
],
"practiceLocations": [
{
"address_1": "3205 Hurley Way",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958643853",
"country_code": "US",
"telephone_number": "916-485-6711",
"fax_number": "916-485-2653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIELAND",
"first_name": "CHERI",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-03",
"last_updated": "2018-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "25931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERI",
"last_name": "BATES",
"middle_name": "LYNN",
"credential": "PT, C/NDT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rescue, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.