Sean R Weatherston, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1523 Issued in ID

Practice address

211 E Logan St
Suite 101
Caldwell, ID 83605-4835

Phone

(208) 454-9839

Fax

(208) 454-0727

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altitude Physical Therapy IncGroup PAC ID 0244267029, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Altitude Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Caldwell, ID
  • NPI 1619045309
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1073596136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W GROUSE ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836518353",
            "telephone_number": "208-465-8087",
            "fax_number": "208-454-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E LOGAN ST",
            "address_2": "SUITE 101",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054835",
            "telephone_number": "208-454-9839",
            "fax_number": "208-454-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERSTON",
        "first_name": "SEAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "1523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Ryan Ward, DO
• Tereza Blazkova Watson, BCBA
• Dennis L Wattier Jr., RN
• Rusty James Wattier, LMSW, ADC
• Margaret Ellen Watts, DNP FNP-C
• Jason Weaver
• Jordan Weaver, DC
• Neal P. Webster, D.D.S.
• Nancy Weikel
• Shannon Renee Welch

• Physical Therapist in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.