Active NPI
David Romney Wiest, PT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1659594836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8047
- Practice address
- 1300 N Vermont Ave
Los Angeles, CA 90027-6005 - Phone
- (213) 413-3000
- NPI assigned
- Apr 10, 2007
- 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 | PT8047 | CA | Primary |
Addresses
Primary practice location
1300 N Vermont Ave
Los Angeles, CA 90027-6005
Mailing address
5120 Hartwick St
Los Angeles, CA 90041-1513
Phone (562) 972-0754
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT8047 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659594836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 HARTWICK ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411513",
"telephone_number": "562-972-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276005",
"telephone_number": "213-413-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEST",
"first_name": "DAVID",
"middle_name": "ROMNEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT8047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.