Dr Jake Wietholder, DPT is a
Physical Therapist based in North Charleroi, Pennsylvania. Dr Jake Wietholder is licensed to practice in Pennsylvania (license number PT028061) and his current practice location is
625 Lincoln Ave Ste 107, North Charleroi, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(724) 483-4886.
NPI number for Dr Jake Wietholder is 1326681743 and his current mailing address is 625 Lincoln Ave Ste 209, Charleroi, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326681743.
Healthcare Provider's Profile
Full Name | Dr Jake Wietholder |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 625 Lincoln Ave Ste 107, North Charleroi, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326681743
- Provider Enumeration Date: 10/18/2019
- Last Update Date: 08/14/2023
Medical Identifiers
Medical identifiers for Dr Jake Wietholder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326681743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT028061 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jake Wietholder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jake Wietholder, DPT 625 Lincoln Ave Ste 209, Charleroi, PA 15022-2451 Ph: (724) 483-3610 | Dr Jake Wietholder, DPT 625 Lincoln Ave Ste 107, North Charleroi, PA 15022-2451 Ph: (724) 483-4886 |
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