Individual provider Active NPI

Roman Dustin Weber, DPT

  • Physical Therapist
  • Burbank, CA
National Provider Identifier
1013715051
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT300054 Issued in CA
Practice address
500 E Olive Ave Ste 325
Burbank, CA 91501-3338
Phone
(818) 955-5789
NPI assigned
Mar 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT300054 CA Primary

Addresses

Primary practice location

500 E Olive Ave Ste 325
Burbank, CA 91501-3338

Mailing address

500 E Olive Ave Ste 325
Burbank, CA 91501-3338
Phone (818) 955-5786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623002895 CA Practitioner - Physical Therapist in Private Practice 7214449594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BSP Physical Therapy IncGroup PAC ID 6507033388, 3 clinicians

Practice addresses (Care Compare)

500 E Olive Ave
Suite 325
Burbank, CA 91501-3338
Phone (818) 955-5786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT300054CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BSP Physical Therapy Inc Physical Therapist CurrentSince Mar 20, 2025 Accepting new patients

Locations

500 E Olive Ave
Ste 325
Burbank, CA 91501
Phone (818) 955-5786

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1013715051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE STE 325",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915013338",
            "telephone_number": "818-955-5786",
            "fax_number": "818-955-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE STE 325",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915013338",
            "telephone_number": "818-955-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "ROMAN",
        "middle_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT300054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.