1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Physical Therapist
  6. NPI Profile

LISA WIEDEMAN PT
NPI 1346799616
Physical Therapist - Pediatrics in Sacramento, CA

Active since September 28, 2016
2425 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 453-2240(916) 453-2363 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Wiedeman Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA WIEDEMAN PT (NPI 1346799616) is an individual pediatrics provider in Sacramento, California, licensed in California (32466) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1346799616
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameLISA WIEDEMANCredential: PT
Location Address2425 STOCKTON BLVDSacramento, CA 95817-2215
Mailing Address2425 Stockton BlvdSacramento, CA 95817-2215 · (916) 453-2240 · Fax (916) 453-2363
Phone(916) 453-2240
Fax(916) 453-2363
Sole ProprietorNo
Enumeration DateSeptember 28, 2016
✔ NPI 1346799616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in CA · 32466
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
2425 STOCKTON BLVD, Sacramento, CA 95817
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHRINERS HOSPITAL PHARMACY
Pharmacy
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 453-2000
KOU HER RN
Registered Nurse (Pediatrics)
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 453-2000
DR. VEDANT ASHOK KULKARNI M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
2425 STOCKTON BLVD, DEPT OF ORTHOPAEDIC SURGERY
SACRAMENTO, CA 95817
Sacramento County (916) 453-2049
CLARISSA CARBULLIDO
Physical Therapist
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 453-2240
DR. DAVID PLEASURE MD
Psychiatry & Neurology (Neurology)
2425 STOCKTON BLVD, SHRINERS HOSPITAL FOR CHILDREN NORTHERN CALIFORNIA
SACRAMENTO, CA 95817
Sacramento County (916) 453-2331
SYLVIA INES GARMA PH.D.
Psychologist
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 453-2000
FATEMA LAKHANI IQBAL M.D.
Pediatrics
2425 STOCKTON BLVD, SHRINERS HOSPITAL OF NORTHERN CALIFORNIA
SACRAMENTO, CA 95817
Sacramento County (916) 453-2060
MARY ANN O'DELL OTR
Occupational Therapist (Physical Rehabilitation)
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 453-2240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Wiedeman's NPI number?

The NPI number for Lisa Wiedeman is 1346799616. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Lisa Wiedeman located?

Lisa Wiedeman practices at 2425 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 453-2240.

What is Lisa Wiedeman's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Lisa Wiedeman was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.