Weston Rehabilitation Indiana LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WESTON REHABILITATION INDIANA LLC

Practice address

3109 E Bristol St
Elkhart, IN 46514-4372

Phone

(574) 266-4508

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Granger Cobb

Title

President

Phone

(206) 298-2909

Specialties & licenses 3

Addresses

Other names 1

• Atria Eastlake Terrace Doing business as

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1033410345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211031",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 E BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144372",
            "telephone_number": "574-266-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON REHABILITATION INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "GRANGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atria Eastlake Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Welty, AU.D.
• Mary E Wendt, RD, LD
• Brittany Lynn Wenger
• Denise West
• Kate West
• Caesar Joseph Weston III, MD
• Autumn H. Whipple, MSW
• Laureen Carlson Whitacre, RPH
• Monique Whitaker, MA
• Brooke White, PTA

• Physical Therapist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.