Active NPI
Jacob Clayton Weller, DPT
- Physical Therapist
- Spokane Valley, WA
National Provider Identifier
1508411489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61208137
- Practice address
- 16528 E Desmet CT Ste 1600B
Spokane Valley, WA 99216-3522 - Phone
- (509) 944-8958
- Fax
- (509) 944-8959
- NPI assigned
- Aug 7, 2019
- 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 | 61208137 | WA | Primary |
Addresses
Primary practice location
16528 E Desmet CT Ste 1600B
Spokane Valley, WA 99216-3522
Mailing address
100 N Howard St # 6577
Spokane, WA 99201-0508
Phone (509) 289-4117
Other practice location 1
100 N Howard St # 6577
Spokane, WA 99201-0508
Phone (509) 289-4117
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 |
|---|---|---|---|
| 61208137 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Inspire Physical & Hand Therapy Spokane Inc. P.S. | Past | Accepting new patients |
Locations
100 N Howard St
Spokane, WA 99201
Phone (206) 201-1163
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 and National Provider Directory roles.
-
- Physical Therapist
- Spokane, WA
- NPI 1659225233
-
- Durable Medical Equipment & Medical Supplies
- Spokane, WA
- NPI 1447417357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748736000000",
"number": "1508411489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HOWARD ST # 6577",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "509-289-4117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16528 E DESMET CT STE 1600B",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992163522",
"telephone_number": "509-944-8958",
"fax_number": "509-944-8959"
}
],
"practiceLocations": [
{
"address_1": "100 N Howard St # 6577",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992010508",
"country_code": "US",
"telephone_number": "509-289-4117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLER",
"first_name": "JACOB",
"middle_name": "CLAYTON",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-07",
"last_updated": "2025-06-01",
"certification_date": "2025-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61208137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.