Bryan Douglas Weston, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010188 Issued in WA

Practice address

8645 Martin Way E
Suite 103
Lacey, WA 98516-5851

Phone

(360) 491-3900

Fax

(360) 491-3909

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• MVP Physical Therapy, Inc.

  • Physical Therapist
  • Tacoma, WA
  • NPI 1205124302
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1629082268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ORCHARD ST W",
            "address_2": "SUITE 100",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666606",
            "telephone_number": "253-564-1560",
            "fax_number": "253-564-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 MARTIN WAY E",
            "address_2": "SUITE 103",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165851",
            "telephone_number": "360-491-3900",
            "fax_number": "360-491-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "BRYAN",
        "middle_name": "DOUGLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8458937",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Welty, ARNP
• Carolyn Debra Wendt
• Haleigh Ann Werner, M.D.
• Paytion Arista West
• Western Washington Oncology PS
• Sydney Westphal
• Westside Speech and Language
• Drew Faith Wetmore
• Rebecca M Whearty, MEDICAL ASSISTANT
• Madison Delaney Wheat

• Physical Therapist in Lacey, WA
• Providers in Lacey, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.