Individual provider Active NPI

Joseph Wiest, DPT

  • Physical Therapist
  • Newport, OR
National Provider Identifier
1639767387
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1111 SW 10TH St Ste a
Newport, OR 97365-5235
Phone
(541) 574-1823
NPI assigned
Jan 7, 2021
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1111 SW 10TH St Ste a
Newport, OR 97365-5235

Mailing address

1111 SW 10TH St Ste a
Newport, OR 97365-5235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428000736 OR Practitioner - Physical Therapist in Private Practice 9638695224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanders Hand Therapy, Inc.Group PAC ID 3971775941, 9 clinicians
TSL Well LLCGroup PAC ID 0345776050, 11 clinicians

Practice addresses (Care Compare)

2217 Country Club Rd
Woodburn, OR 97071-2811
Phone (503) 982-4200

3900 Kruse Way PL
Lake Oswego, OR 97035-2512
Phone (503) 635-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TSL Well LLC Physical Therapist CurrentSince Apr 16, 2025 Accepting new patients
Samaritan Pacific Health Services, Inc PastSince Jan 10, 2021 Accepting new patients
Integrated Body Therapeutics LLC PastSince Jan 10, 2021 Accepting new patients

Locations

3330 SE Three Mile Ln
McMinnville, OR 97128
Phone (971) 645-1650

822 Golf View Dr
Medford, OR 97504
Phone (541) 774-1822

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1639767387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SW 10TH ST STE A",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SW 10TH ST STE A",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655235",
            "telephone_number": "541-574-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEST",
        "first_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.

Verify at the official NPI Registry.