John Andrew Westhafer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

294105 Issued in CA

Practice address

3550 Round Barn Blvd Ste 112
Santa Rosa, CA 95403-1796

Phone

(209) 641-5699

NPI assigned

Jan 27, 2020

Last updated

Feb 27, 2020By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1750912911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EL DORADO CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 ROUND BARN BLVD STE 112",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031796",
            "telephone_number": "209-641-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTHAFER",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "294105",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linnea Joanne Westerberg, DDS
• Western Dental Services, Inc.
• Western Dental Services, Inc.
• Western Dental Services, Inc.
• Cody Corin Westfall, AMFT
• Norman Paul Westhoff, M.D.
• Dale Raymond Westrom, M.D., PH.D.
• Judy Marie Wetch
• Angela Merrisa Wetmore, PA-C
• Dustin K Wetmore, PA-C

• Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.