Courtney Weis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-07114 Issued in KS

Practice address

22342 W 66TH St
Shawnee, KS 66226-3560

Phone

(913) 728-6166

Fax

(833) 615-8216

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

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 KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialists in Sports and Orthopedic Rehabilitation LLCGroup PAC ID 8820259906, 15 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialists in Sports and Orthopedic Rehabilitation LLC

  • Physical Therapist
  • Overland Park, KS
  • NPI 1134493075
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1104554369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22342 W 66TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263560",
            "telephone_number": "913-728-6166",
            "fax_number": "833-615-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "COURTNEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Renae Webster, BCBA
• Katherine Grace Wedel, PT, DPT
• Jeffrey James Weeks, OTR/L
• Judy Ann Wegman, RD
• Pamela M. Weinhold, MD
• Wellkc, LLC
• Lora L Wendling, OTR/L, CHT
• Ashlee West
• Briana West
• Westglen Endoscopy Center LLC (Westglen Endoscopy Center)

• Physical Therapist in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.