Individual
EMILY REPANICH WEGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3214 CHARLES B ROOT WYND, STE 101, RALEIGH, NC 27612-5440
(919) 571-9912
(855) 291-6382
Mailing address
3214 CHARLES B ROOT WYND, STE 101, RALEIGH, NC 27612-5440
(919) 571-9912
(855) 291-6382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT016934
PA
2251X0800X
Orthopedic Physical Therapist
Primary
11677
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679776
HIGHMARK BLUE SHIELD
—
01
—
2068297
UNITED HEALTHCARE
—
01
—
2170560
MAMSI
—
01
—
2353697000
INDEPENDENCE BLUE CROSS
—
01
—
2504284
MEDICARE NUMBER
NC
01
—
329154
HEALTHAMERICA/HEALTHASSUR
—
01
—
47241
GEISINGER HEALTH PLAN
—
01
—
50045030
CAPITAL BLUE CROSS
—
01
—
7038213
AETNA PPO
—
01
—
7439972
CIGNA HEALTHCARE
—
01
—
821692
FIRST PRIORITY HEALTH
—
01
—
P00259443
MEDICARE RAILROAD
—
01
—
P3615017
OXFORD HEALTH PLANS
—
Enumeration date
07/14/2005
Last updated
04/25/2016
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