Individual provider Active NPI

Eric Wright Weygandt, DPT, CSCS

  • Physical Therapist
  • Rocklin, CA
National Provider Identifier
1457450496
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28712 Issued in CA
Practice address
6815 Five Star Blvd
Suite 105
Rocklin, CA 95677-2688
Phone
(916) 630-1600
NPI assigned
Sep 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT28712 CA Primary

Addresses

Primary practice location

6815 Five Star Blvd
Suite 105
Rocklin, CA 95677-2688

Mailing address

5960 Tanus Cir
Rocklin, CA 95677-4303
Phone (916) 625-0855

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT28712CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Sports and Physical Therapy, Inc. Physical Therapist PastSince Jan 20, 2015 Accepting new patients
Rebound Rehab Physical Therapy, Inc. Physical Therapist PastSince Sep 18, 2007 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457450496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 TANUS CIR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774303",
            "telephone_number": "916-625-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 FIVE STAR BLVD",
            "address_2": "SUITE 105",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772688",
            "telephone_number": "916-630-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYGANDT",
        "first_name": "ERIC",
        "middle_name": "WRIGHT",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.