Active NPI
Robert Charles Weist III, DPT
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1508335001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4950 E Stop 11 Rd Ste B
Indianapolis, IN 46237-9104 - Phone
- (317) 859-5857
- NPI assigned
- Nov 14, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305212942 | VA | |
| Physical Therapist | 225100000X | P18696 | NC | |
| Physical Therapist | 225100000X | 05013223A | IN | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4950 E Stop 11 Rd Ste B
Indianapolis, IN 46237-9104
Mailing address
741 Porta Rosa Cir
St Augustine, FL 32092-0476
Phone (985) 264-0325
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 |
|---|---|---|---|
| 05013223A | IN | MD | Physical Therapist |
| 2305212942 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Physical Therapy Services of North Florida, LLC | Physical Therapist | Current | Accepting new patients |
Locations
3948 3rd St S
Jax Bch, FL 32250
Phone (904) 285-9355
Organizations & group practices 1
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.
-
dba Balanced Therapy and Wellness
- Physical Medicine & Rehabilitation Physician
- Lakewood Ranch, FL
- NPI 1093183519
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1508335001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 PORTA ROSA CIR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320920476",
"telephone_number": "985-264-0325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 E STOP 11 RD STE B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462379104",
"telephone_number": "317-859-5857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIST",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_suffix": "III",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-14",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212942",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18696",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013223A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.