Active NPI
Brandon Walbert, DPT, PT
- Physical Therapist
- Weirton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004545
- Practice address
- 414 Penco Rd
Weirton, WV 26062-3822 - Phone
- (304) 723-3780
- Fax
- (304) 723-4110
- NPI assigned
- Aug 10, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT030966 | PA | |
| Physical Therapist | 225100000X | PT004545 | WV | Primary |
Addresses
Primary practice location
414 Penco Rd
Weirton, WV 26062-3822
Mailing address
414 Penco Rd
Weirton, WV 26062-3822
Phone (304) 723-3780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220922000700 | WV | Practitioner - Physical Therapist in Private Practice | 0840675179 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
414 Penco Rd
Weirton, WV 26062-3822
Phone (304) 723-3780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004545 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
Locations
118 Carolina Ave
Chester, WV 26034
Phone (304) 387-0409
1425 Main St
Follansbee, WV 26037
Phone (304) 527-4472
621 N Chester St
New Cumberlnd, WV 26047
Phone (304) 564-1098
414 Penco Rd
Weirton, WV 26062
Phone (304) 723-3780
Organizations & group practices 1
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.
-
- Physical Therapist
- Weirton, WV
- NPI 1336878263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1346978129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 PENCO RD",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623822",
"telephone_number": "304-723-3780",
"fax_number": "304-723-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 PENCO RD",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623822",
"telephone_number": "304-723-3780",
"fax_number": "304-723-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALBERT",
"first_name": "BRANDON",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-10",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030966",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT004545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.