Active NPI
Weston Vik
- Physical Therapist
- Lutherville, MD
National Provider Identifier
1528474673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25006
- Practice address
- 10753 Falls Rd Ste 235
Lutherville, MD 21093-4597 - Phone
- (410) 847-3838
- NPI assigned
- Jul 9, 2014
- Last updated
- May 12, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25006 | MD | Primary |
| Physical Therapist | 225100000X | PT-3507 | ID |
Addresses
Primary practice location
10753 Falls Rd Ste 235
Lutherville, MD 21093-4597
Mailing address
10753 Falls Rd Ste 235
Lutherville, MD 21093-4597
Other practice location 1
940 W Ironwood Dr Ste A
Coeur D Alene, ID 83814-2486
Phone (208) 625-5311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-3507 | ID | MD | Physical Therapist |
| 25006 | MD | MD | Physical Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Coeur d'Alene, ID
- NPI 1174661151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1528474673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10753 FALLS RD STE 235",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210934597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10753 FALLS RD STE 235",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210934597",
"telephone_number": "410-847-3838"
}
],
"practiceLocations": [
{
"address_1": "940 W Ironwood Dr Ste A",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838142486",
"country_code": "US",
"telephone_number": "208-625-5311",
"fax_number": "208-625-4184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIK",
"first_name": "WESTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-09",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25006",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-3507",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.