MR. STEPHEN THEODORE WIESKAMP (P.T.) – Physical Therapist, NPI 1619996691

MR. STEPHEN THEODORE WIESKAMP (P.T.) is a healthcare provider. based in Moline, Illinois. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. 02503 (IA). The NPI Number for MR. STEPHEN THEODORE WIESKAMP (P.T.) is 1619996691

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. STEPHEN THEODORE WIESKAMP (P.T.)
NPI
1619996691
Phone
(309) 743-2070
Address
850 43RD AVE STE 100
Enumeration Date
19 July 2006
Last Update Date
30 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5633242263
Graduation Year
1996 (30 years ago)
PAC ID
5294727426
Group Practice PAC ID
9638087877
Professional Enrollment ID
I20100924000538
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. STEPHEN THEODORE WIESKAMP (P.T.)

  • 43rd Avenue, Moline, Rock Island County, Illinois, 61265, United States

    MOLINE, IL 612658401

    Phone: (309) 743-2070

    Fax: (309) 743-2073

    Type: Mailing

  • Cedarwood Drive, Muscatine, Muscatine County, Iowa, 52761, United States

    MUSCATINE, IA 527612670

    Phone: (563) 288-6787

    Fax: (563) 288-6719

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes43021$0
97530Therapy procedure using functional activities30915$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes5311$0
97161Evaluation for physical therapy, typically 20 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 61265)

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Provider's Procedures

MR. STEPHEN THEODORE WIESKAMP (P.T.) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIA97001Physical therapy evaluation7467
PHYSICAL THERAPYIA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1158157
PHYSICAL THERAPYIA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes26291

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638087877View full group profile
NameSpecialtyState
-IA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

Is MR. STEPHEN THEODORE WIESKAMP (P.T.) listed with a National Provider Identifier?
Yes — MR. STEPHEN THEODORE WIESKAMP (P.T.) has NPI 1619996691 on file in the registry.
Active or inactive — what applies to MR. STEPHEN THEODORE WIESKAMP (P.T.)?
You should see MR. STEPHEN THEODORE WIESKAMP (P.T.) as active in CMS-hosted NPPES data.
What kind of doctor is MR. STEPHEN THEODORE WIESKAMP (P.T.)?
MR. STEPHEN THEODORE WIESKAMP (P.T.) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. STEPHEN THEODORE WIESKAMP (P.T.)?
Directory geography for MR. STEPHEN THEODORE WIESKAMP (P.T.) centers on Moline, Illinois.
Does MR. STEPHEN THEODORE WIESKAMP (P.T.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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