Blaine Joseph Wieland, PT | |
1335 Strassner Dr, Brentwood, MO 63144-1872 | |
(423) 946-0934 | |
Not Available |
Full Name | Blaine Joseph Wieland |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1335 Strassner Dr, Brentwood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376341594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1145530 (Texas) | Primary |
Provider Name | Empowerme Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1255900296 PECOS PAC ID: 2769723162 Enrollment ID: O20211006001271 |
Mailing Address | Practice Location Address |
---|---|
Blaine Joseph Wieland, PT 1335 Strassner Dr, Brentwood, MO 63144-1872 Ph: (423) 946-0934 | Blaine Joseph Wieland, PT 1335 Strassner Dr, Brentwood, MO 63144-1872 Ph: (423) 946-0934 |
Margaret E Braida, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147 | |
Dr. Nicole R Jackson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1335 Strassner Dr, Brentwood, MO 63144 Phone: 313-289-0178 | |
Jacqueline D Schranck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2937 S Brentwood Blvd, Suite 105, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147 | |
Whitney Korgan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2726 Bremerton Rd, Brentwood, MO 63144 Phone: 636-515-3859 | |
Mr. Brian Michael Graf, PT ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147 | |
Charlotte Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 | |
Kamrun N Alam, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8228 Brentwood Industrial Dr, Brentwood, MO 63144 Phone: 314-218-8966 Fax: 314-781-3448 |