Active NPI
Nicholas Weishar, DPT
- Physical Therapist
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP061646T
- Practice address
- 279 S Purcell Blvd Ste 114
Pueblo, CO 81007-5083 - Phone
- (719) 547-2481
- Fax
- (719) 547-2487
- NPI assigned
- Aug 25, 2025
- Last updated
- Sep 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 1757224 | WI | |
| Physical Therapist | 225100000X | CP061646T | CO | Primary |
Addresses
Primary practice location
279 S Purcell Blvd Ste 114
Pueblo, CO 81007-5083
Mailing address
N3957 Lilly Rd
Rubicon, WI 53078-9771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Village Ctr Blvd
Suite 100
Myrtle Beach, SC 29579-6706
Phone (843) 491-4937
4710 Spotsylvania Pkwy
Suite 101
Fredericksburg, VA 22407-9433
Phone (540) 373-4602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP053045T | SC | MD | Physical Therapist |
| 1757224 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Healthcare Physicians | Physical Therapist | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Current | Accepting new patients |
Locations
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
4710 Spotsylvania Pkwy
Ste 101
Fredericksburg, VA 22407
9530 Cosner Dr
Ste 100
Fredericksburg, VA 22408
Phone (540) 735-0401
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1366320608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N3957 LILLY RD",
"city": "RUBICON",
"state": "WI",
"postal_code": "530789771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 S PURCELL BLVD STE 114",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810075083",
"telephone_number": "719-547-2481",
"fax_number": "719-547-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISHAR",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-25",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1757224",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "CP061646T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.