Active NPI
Andy Weyer, DPT, PHD
- Physical Therapist
- Portland, OR
National Provider Identifier
1467975508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61758
- Practice address
- 1132 SW 13TH Ave
Portland, OR 97205-1703 - Phone
- (503) 445-0974
- NPI assigned
- Jul 20, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61758 | OR | Primary |
Addresses
Primary practice location
1132 SW 13TH Ave
Portland, OR 97205-1703
Mailing address
3833 SW Bond Ave Apt 320
Portland, OR 97239-4740
Phone (262) 443-9639
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61758 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1467975508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3833 SW BOND AVE APT 320",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394740",
"telephone_number": "262-443-9639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 SW 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051703",
"telephone_number": "503-445-0974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEYER",
"first_name": "ANDY",
"name_prefix": "Dr.",
"credential": "DPT, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.