Active NPI
Brett Weston Ford, P.T.
- Physical Therapist
- Muscatine, IA
National Provider Identifier
1497086946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004485
- Practice address
- 2109 Cedarwood Dr
Suite 100
Muscatine, IA 52761-2670 - Phone
- (563) 288-6787
- Fax
- (563) 288-6719
- NPI assigned
- Jan 22, 2010
- 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 | 004485 | IA | Primary |
Addresses
Primary practice location
2109 Cedarwood Dr
Suite 100
Muscatine, IA 52761-2670
Mailing address
2109 Cedarwood Dr
Suite 100
Muscatine, IA 52761-2670
Phone (563) 288-6787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004485 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1497086946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 CEDARWOOD DR",
"address_2": "SUITE 100",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527612670",
"telephone_number": "563-288-6787",
"fax_number": "563-288-6719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 CEDARWOOD DR",
"address_2": "SUITE 100",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527612670",
"telephone_number": "563-288-6787",
"fax_number": "563-288-6719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "BRETT",
"middle_name": "WESTON",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muscatine, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.