Individual provider Active NPI

Brandon N Weipert, PT

  • Physical Therapist
  • San Luis Obispo, CA
National Provider Identifier
1265858385
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41147 Issued in CA
Practice address
1428 Phillips LN Ste B3
San Luis Obispo, CA 93401-2569
Phone
(805) 269-6402
Fax
(888) 909-5102
NPI assigned
Mar 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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 41147 CA Primary

Addresses

Primary practice location

1428 Phillips LN Ste B3
San Luis Obispo, CA 93401-2569

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140507001783 CA Practitioner - Physical Therapist in Private Practice 0547493009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

805 Aerovista PL
Suite 104
San Luis Obispo, CA 93401-7921
Phone (805) 543-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41147CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Current Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Mar 12, 2014 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Mar 12, 2014 Accepting new patients

Locations

7325 El Camino Real
Atascadero, CA 93422
Phone (805) 466-6719

533 Five Cities Dr
Ste C6
Pismo Beach, CA 93449
Phone (805) 489-7912

1428 Phillips Ln
Ste B3
San Luis Obispo, CA 93401
Phone (805) 269-6402

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

862 Meinecke Ave
Ste 101
Sn Luis Obisp, CA 93405
Phone (805) 541-4717

1106 Walnut St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 788-0805

805 Aerovista Pl
Ste 104
Sn Luis Obisp, CA 93401
Phone (805) 543-7771

Organizations & group practices 3

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": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1265858385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 PHILLIPS LN STE B3",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012569",
            "telephone_number": "805-269-6402",
            "fax_number": "888-909-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIPERT",
        "first_name": "BRANDON",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.