Individual provider Active NPI

Brian A Weeks, PT

  • Physical Therapist
  • Warren, OH
National Provider Identifier
1265475248
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6881 Issued in OH
Practice address
140 Highland Terrace Blvd
Warren, OH 44484-3074
Phone
(330) 652-8733
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 6881 OH Primary

Addresses

Primary practice location

140 Highland Terrace Blvd
Warren, OH 44484-3074

Mailing address

140 Highland Terrace Blvd
Warren, OH 44484-3074
Phone (330) 652-8733

Other identifiers 1

IdentifierTypeStateIssuer
2365202MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110111000228 OH Practitioner - Physical Therapist in Private Practice 6103739354 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6881OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Rehabilitation of Ohio, Inc. Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. CurrentSince Jul 15, 2024 Accepting new patients
SMR Banyan Tree, Inc. Physical Therapist PastSince Aug 28, 2022 Accepting new patients
Eastwood Medical Center Inc PastSince Apr 20, 2013 Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients
Mark Engle D.C. Inc. PastSince Oct 1, 2002 Accepting new patients

Locations

100 Royal Birkdale Dr
Columbiana, OH 44408
Phone (330) 482-3726

803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200

656 Youngstown Warren Rd
Niles, OH 44446
Phone (330) 505-1362

2308 Southeast Blvd
Salem, OH 44460
Phone (330) 332-8488

Organizations & group practices 6

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1265475248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HIGHLAND TERRACE BLVD",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843074",
            "telephone_number": "330-652-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HIGHLAND TERRACE BLVD",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843074",
            "telephone_number": "330-652-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "6881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2365202",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.