Active NPI
Craig D Weyrich, PT
- Orthopedic Physical Therapist
- Joliet, IL
National Provider Identifier
1184848988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070009076
- Practice address
- 1240 Essington Rd
Suite 100
Joliet, IL 60435-8408 - Phone
- (815) 744-7108
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070009076 | IL | Primary |
Addresses
Primary practice location
1240 Essington Rd
Suite 100
Joliet, IL 60435-8408
Mailing address
1240 Essington Rd
Suite 100
Joliet, IL 60435-8408
Phone (815) 744-7108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619980 | Other | IL | BCBS OF IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070009076 | IL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1184848988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 ESSINGTON RD",
"address_2": "SUITE 100",
"city": "JOLIET",
"state": "IL",
"postal_code": "604358408",
"telephone_number": "815-744-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 ESSINGTON RD",
"address_2": "SUITE 100",
"city": "JOLIET",
"state": "IL",
"postal_code": "604358408",
"telephone_number": "815-744-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEYRICH",
"first_name": "CRAIG",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070009076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "1619980",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.