MRS. KELLEY S WIEDMEYER-DAVIS (NPI# 1427075886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427075886 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY S WIEDMEYER-DAVIS |
| Credential | MS PT |
| Practice Address |
3701 Nw Cary Parkway Suite 301 Cary NC 27513 |
| Mailing Address |
3701 Nw Cary Parkway Suite 301 Dunn Physical Therapy Cary NC 27513 |
| Practice Telephone | 9193880111 |
| Practice Fax Number | 9193888668 |
| Mailing Telephone | 9193880111 |
| Mailing Fax Number | 9193888668 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 7630 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0784Q | 01 |
| NC | AETNA PPO | 5102400 | 01 |
| NC | AETNA HMO | 2209325 | 01 |
| NC | GHI | 6698931 | 01 |
| Street Address |
3701 NW CARY PARKWAY SUITE 301 |
| City | CARY |
| State | NC |
| Zip Code | 27513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043237498 | Pamela Alane Foland | Physical Therapist | 3701 Nw Cary Parkway, Suite 301, Cary, NC 25713 | 2006-07-15 |
| 1144464918 | Performance Orthopaedic Surgery & Sports Medicine | Orthopaedic Surgery | 3701 Nw Cary Parkway, Suite 305, Cary, NC 27513-8341 | 2009-04-23 |
| 1790932184 | Adam White | Physical Therapist | 3701 Nw Cary Parkway, Suite 301, Cary, NC 27513-4220 | 2008-08-27 |
| 1548449440 | Jessica Grace Begley | Physical Therapist | 3701 Nw Cary Parkway, Suite 301, Cary, NC 27513-8413 | 2007-10-26 |
| 1669678629 | Maryanne Stevenson | Physical Therapist | 3701 Nw Cary Parkway, Suite 301, Cary, NC 27513-8431 | 2007-06-26 |
| 1093838328 | Jessica A Hartzell | Physical Therapist | 3701 Nw Cary Parkway, Suite 301, Cary, NC 27513 | 2007-04-10 |
| 1154457562 | Tamma Cain Klassen | Physical Therapist | 3701 Nw Cary Parkway, Suite 301, Cary, NC 27513 | 2007-02-27 |
| 1386789063 | Janine P Mancuso | Physical Therapist | 3701 Nw Cary Parkway, Suite 301, Cary, NC 27513 | 2007-02-21 |
| 1134225998 | Patricia Lee Hall | Physical Therapist | 3701 Nw Cary Parkway, Ste 301 Dunn Physical Therapy, Cary, NC 27513 | 2006-09-16 |
| 1962418525 | Jennifer M Maddocks | Physical Therapist | 3701 Nw Cary Parkway, Suite 301, Cary, NC 27513 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946069 | Live Well Physical Therapy and Pilates, LLC | Physical Therapist | 112 Hamilton Hedge Pl, Cary, NC 27519-9144 | 2020-06-16 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1194365890 | Tryba Physical Therapy Group, LLC | Physical Therapist | 600 Industrial Dr Ste D, Cary, IL 60013-1952 | 2020-01-10 |
| 1528615747 | Katelynn Nicoletta | Physical Therapist | 202 Davis Grove Cir Ste 107, Cary, NC 27519-2521 | 2019-08-22 |
| 1518435858 | Daniel Scott Menday | Physical Therapist | 212 Ashville Ave Ste 30, Cary, NC 27518-6669 | 2018-11-05 |
| 1295214989 | Margret Gardner Lee | Physical Therapist | 1100 Maroubra Loop Apt 1302, Cary, NC 27513-8854 | 2018-08-13 |
| 1538647078 | Marisa Lee | Physical Therapist | 3100 Nc 55 Hwy Ste 101, Cary, NC 27519-8427 | 2018-08-06 |
| 1760973184 | Deborah Ward Whalen | Physical Therapist | 109 Woodgrove Ln, Cary, NC 27518-9709 | 2018-05-21 |
| 1750892428 | Milissa Havard | Physical Therapist | 2015 Grove Ln, Cary, IL 60013-2824 | 2017-10-20 |
| 1639680945 | Transitional Steps Pediatric Physical Therapy | Physical Therapist | 248 Joshua Glen Ln, Cary, NC 27519-8763 | 2017-10-13 |
| Find all providers in CARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.