Laura W Wiegan, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005661 Issued in VA

Practice address

9516 Craigs Mill Dr
Glen Allen, VA 23060-3555

Phone

(804) 965-6232

Fax

(804) 545-2806

NPI assigned

Apr 12, 2006

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

Other identifiers 11

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.

• Ashland Physical Therapy Associates Inc

  • Physical Therapist
  • Ashland, VA
  • NPI 1255300190
  NPD (past)
• Richmond Physical Therapy Corp

  • Physical Therapist
  • Richmond, VA
  • NPI 1518936459
  NPD (past)
• Susan Archer, Inc

  • Clinical Social Worker
  • Glen Allen, VA
  • NPI 1265766208
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1972567642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 CUTSHAW AVE",
            "address_2": "SUITE 299",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23230",
            "telephone_number": "804-340-1193",
            "fax_number": "804-340-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9516 CRAIGS MILL DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603555",
            "telephone_number": "804-965-6232",
            "fax_number": "804-545-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGAN",
        "first_name": "LAURA",
        "middle_name": "W",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6400713",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "329180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PPO",
            "identifier": "183574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HMO",
            "identifier": "54960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "15291354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS",
            "identifier": "183574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PPO",
            "identifier": "183531",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6404543",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "15291354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "429180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "255534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Justice White, RN, LPTA
• Katrice Rose White, MS
• Paul R. White, DDS
• Holland Whitt, PHARMD
• Hannah Yitaa-Boama Wiafe, PHARM.D
• Brendan Thomas Wilbur, DPT
• Markita A Wilburn, PHARMD
• Wiley & Arkin Pediatrics, LLC
• Edward James Wiley III, MD
• David R Williams III, LPTA

• Physical Therapist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.