Individual provider Active NPI

Robert Weymouth, DPT

  • Physical Therapist
  • Mountain Home, ID
National Provider Identifier
1063200327
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3471154 Issued in ID
Practice address
3195 E 8TH N
Mountain Home, ID 83647-5000
Phone
(208) 587-0047
NPI assigned
Apr 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 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 3471154 ID Primary

Addresses

Primary practice location

3195 E 8TH N
Mountain Home, ID 83647-5000

Mailing address

3195 E 8TH N
Mountain Home, ID 83647-5000
Phone (208) 587-0047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805001733 ID Practitioner - Physical Therapist in Private Practice 0042728560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors of Physical Therapy PLLCGroup PAC ID 2365812104, 4 clinicians

Practice addresses (Care Compare)

3195 E 8TH
Mountain Home, ID 83647-5000
Phone (208) 587-0047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3471154IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Physical Therapy PLLC Physical Therapist CurrentSince May 21, 2025 Accepting new patients

Locations

3195 E 8th N
Mountain Home, ID 83647
Phone (208) 269-6290

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1063200327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 E 8TH N",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836475000",
            "telephone_number": "208-587-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 E 8TH N",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836475000",
            "telephone_number": "208-587-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYMOUTH",
        "first_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "3471154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.