Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Waidelich, DPT

Individual provider Physical Therapist · NPI 1962921395

Jennifer Waidelich, DPT is a Physical Therapist in Coronado, California. Licensed in California and Virginia. Registered with an NPI since 2017.

Licensed in
CA, VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

410 E Ave
Coronado, CA 92118
Phone: (609) 658-9191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305211035 (VA)
Physical Therapist Taxonomy 225100000X · Licence 293722 (CA)

Record details

NPI number1962921395
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 18, 2017
Last updated in NPPESJuly 21, 2022
Certification dateNovember 16, 2021

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