Individual provider Active NPI

Robert Charles Weist III, DPT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1508335001
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
05013223AINMDPhysical Therapist
2305212942VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physical Therapy Services of North Florida, LLC Physical Therapist CurrentSince Jan 1, 2022 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.

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.

Verify at the official NPI Registry.