Gavin Weir III, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6356 Issued in ID

Practice address

706 Center Rd
Frankfort, IL 60423-1600

Phone

(312) 857-8180

NPI assigned

Jul 25, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Regenerate Therapy Services LLC

  dba Regenerate Therapy Services

  • Physical Therapy Clinic/Center
  • Matteson, IL
  • NPI 1265024848

  Physical Therapist

  NPD Authorized official
• Method Athletics LLC

  dba Method Athletics

  • Physical Therapy Clinic/Center
  • Frankfort, IL
  • NPI 1376133264
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1447804687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 OAK PARK AVE UNIT 306",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773639",
            "telephone_number": "312-857-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 CENTER RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231600",
            "telephone_number": "312-857-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "GAVIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "6356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann M Walters, COTAL
• Jorie Warren
• Shannon Watson
• Latia Watts
• Jeanne Weber
• Catherine Nicole Werner
• Emily Wesel, OT
• Sarah West, MED
• Westside ABA
• William R White, PT

• Physical Therapist in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.