IndividualActive
Patricia Wiesner, PT
NPI 1144322256 · Physical Therapist · O Fallon, IL
Provider details
- NPI number
- 1144322256
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 070003265 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1567 Sinking Springs Dr
O Fallon, IL 62269-6658
Phone: (618) 632-9120
Fax: (618) 551-2697
Street-level locationGet directions
Mailing address
Po Box 591
O Fallon, IL 62269-0591
Registry dates
- Enumerated
- 2006-09-01
- Last updated
- 2019-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.