Individual provider Active NPI

Conner E Weeth, DPT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1356063887
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0018620 Issued in CO
Practice address
1015 W Horsetooth Rd Ste 206
Fort Collins, CO 80526-5980
Phone
(970) 480-7705
NPI assigned
Sep 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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 0018620 CO Primary

Addresses

Primary practice location

1015 W Horsetooth Rd Ste 206
Fort Collins, CO 80526-5980

Mailing address

1015 W Horsetooth Rd Ste 206
Fort Collins, CO 80526-5980

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

LicenseStateTypeSpecialty
0018620COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Up and Running Physical Therapy, LLC CurrentSince May 19, 2024 Accepting new patients
Barwismethods of Port St Lucie PastSince Sep 1, 2022 Accepting new patients

Locations

1015 W Horsetooth Rd
Ste 206
Fort Collins, CO 80526
Phone (970) 480-7705

Organizations & group practices 2

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1356063887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W HORSETOOTH RD STE 206",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W HORSETOOTH RD STE 206",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265980",
            "telephone_number": "970-480-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEETH",
        "first_name": "CONNER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0018620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.