Weston Sports Performance Rehabilitation LLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

WESTON SPORTS PERFORMANCE REHABILITATION LLC

Practice address

777 NW 19TH Ave Apt 107
Portland, OR 97209-1391

Phone

(860) 335-2543

NPI assigned

Jan 6, 2020

Last updated

Jan 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Locke Weston, PTNPI 1982850871

Title

Owner

Phone

(860) 335-2543

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Locke Weston, PT

  • Sports Physical Therapist
  • Portland, OR
  • NPI 1982850871
  NPD Authorized official

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1235778333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NW 19TH AVE APT 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091391",
            "telephone_number": "860-335-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NW 19TH AVE APT 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091391",
            "telephone_number": "860-335-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON SPORTS PERFORMANCE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LOCKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-335-2543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Westfall
• Katelin Westfall, LCSW
• Gina Louise Westhoff, MD
• Gail Louise Westlin, MS, MED, NCC, LPC
• Weston Counseling and Wellness
• Alice S Weston, M.D.
• Ashford Durham Weston, QMHP, LPC
• Matthew Locke Weston, PT
• Ruth L Weston, RN
• Westover Dental Clinic

• Sports Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Sports Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.