Corey Joseph Weydert, PT
NPI 1700115102ActiveIndividual· Physical Therapist· Lancaster, WI
Physical Therapist (PT) in Lancaster, Wisconsin, licensed in WI, with an NPI issued in December 2009. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1700115102 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Dec 14, 2009 |
| Last updated in NPPES | Jan 19, 2024 |
| Certified by provider | Jan 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5436 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WI) |
|---|
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