John Weatherly, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1805 Issued in ID

Practice address

850 Lincoln Dr
Idaho Falls, ID 83401-4922

Phone

(208) 569-4266

NPI assigned

Mar 16, 2007

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

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.

• Therapeutic Solutions

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1245415751
  NPD (past) Authorized official
• Elite Medicine PC

  • Multi-Specialty Clinic/Center
  • Twin Falls, ID
  • NPI 1487393393
  NPD (past)
• Therapeutic House Calls, P.a.

  • Geriatric Physical Therapist
  • Idaho Falls, ID
  • NPI 1801963004
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700910049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3914",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 LINCOLN DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014922",
            "telephone_number": "208-569-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERLY",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce James Watkins, M.D.
• Todd Chandler Watson, DDS
• Brandi Lynn Watt, DNP, APRN, NNP-BC
• Raymond Wayne, PTA
• Jill Reid Weadick, LCPC
• Lonnie Robert Weathermon, PHARMD
• Bracken Webb, DDS
• Chad Robert Webb, D.C.
• Chelsi Ann Webb, LMSW
• Kipp B Webb, MD

• Physical Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.