Individual provider Active NPI

Christopher Weidner

  • Physical Therapist
  • Souderton, PA
National Provider Identifier
1922644673
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027085 Issued in PA
Practice address
594 E Broad St # a
Souderton, PA 18964-1200
Phone
(267) 382-0433
NPI assigned
Nov 18, 2019
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT027085 PA Primary

Addresses

Primary practice location

594 E Broad St # a
Souderton, PA 18964-1200

Mailing address

PO Box 412969
Boston, MA 02241-2969
Phone (914) 294-4050

Other practice location 1

1174 Illicks Mill Rd
Bethlehem, PA 18017-3652
Phone (610) 419-9755

Other names 1

  • Chris Weidner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208003458 PA Practitioner - Physical Therapist in Private Practice 4082057807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

8015 Frankford Ave
Philadelphia, PA 19136-2736
Phone (215) 338-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT027085PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Oct 23, 2024 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients

Locations

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

594 E Broad St
Souderton, PA 18964
Phone (267) 382-0433

594 E Broad St
#A
Souderton, PA 18964
Phone (267) 382-0433

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1922644673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412969",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412969",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 E BROAD ST # A",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641200",
            "telephone_number": "267-382-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1174 Illicks Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180173652",
            "country_code": "US",
            "telephone_number": "610-419-9755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "WEIDNER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Souderton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.