Active NPI
Brian Justin Wechter, DPT
- Physical Therapist
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006988
- Practice address
- 1240 Jesse Jewell Pkwy SE
Suite 500
Gainesville, GA 30501-3862 - Phone
- (770) 536-9864
- Fax
- (770) 297-5023
- NPI assigned
- Aug 27, 2008
- 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 | PT006988 | GA | Primary |
Addresses
Primary practice location
1240 Jesse Jewell Pkwy SE
Suite 500
Gainesville, GA 30501-3862
Mailing address
1240 Jesse Jewell Pkwy SE
Suite 500
Gainesville, GA 30501-3862
Phone (770) 536-9864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT006988 | Other | GA | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081105000445 | GA | Practitioner - Physical Therapist in Private Practice | 2961561931 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical College of Georgia School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Esop Rehabilitation LLC
Practice addresses (Care Compare)
11242 Cumming Hwy
Suite 105
Canton, GA 30115-8155
Phone (770) 720-7156
875 Flat Shoals Rd SE
Suite 150
Conyers, GA 30094-6640
Phone (770) 785-7669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006988 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esop Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Esop Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Esop Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Northeast Georgia Diagnostic Associates and Clinic, LLC | Current | Accepting new patients |
Locations
11242 Cumming Hwy
Ste 105
Canton, GA 30115
Phone (770) 720-7156
875 Flat Shoals Rd SE
Ste 150
Conyers, GA 30094
Phone (770) 785-7669
1250 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (470) 228-7507
1240 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501
Organizations & group practices 10
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.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1164182333
GA, Physical Therapist
-
- Multi-Specialty Clinic/Center
- Gainesville, GA
- NPI 1144719311
GA
-
- Physical Therapy Clinic/Center
- Conyers, GA
- NPI 1811319023
Physical Therapist
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1962824003
Physical Therapist
-
- Physical Therapy Clinic/Center
- Marietta, GA
- NPI 1548699127
-
- Physical Therapy Clinic/Center
- Norcross, GA
- NPI 1629490743
-
- Physical Therapy Clinic/Center
- Griffin, GA
- NPI 1194147215
-
- Physical Therapy Clinic/Center
- Tucker, GA
- NPI 1730501982
-
- Physical Therapy Clinic/Center
- Morrow, GA
- NPI 1780006825
-
- Physical Therapy Clinic/Center
- Cumming, GA
- NPI 1962824177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1760639207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 JESSE JEWELL PKWY SE",
"address_2": "SUITE 500",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013862",
"telephone_number": "770-536-9864",
"fax_number": "770-297-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 JESSE JEWELL PKWY SE",
"address_2": "SUITE 500",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013862",
"telephone_number": "770-536-9864",
"fax_number": "770-297-5023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECHTER",
"first_name": "BRIAN",
"middle_name": "JUSTIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT006988",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.