Active NPI
William C Weissert, PT
- Physical Therapist
- Collinsville, IL
National Provider Identifier
1760640544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.014877
- Practice address
- 109 Lanter CT
Collinsville, IL 62234-6124 - Phone
- (618) 343-1122
- Fax
- (618) 343-1444
- NPI assigned
- May 28, 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 | 070.014877 | IL | Primary |
Addresses
Primary practice location
109 Lanter CT
Collinsville, IL 62234-6124
Mailing address
109 Lanter CT
Collinsville, IL 62234-6124
Phone (618) 343-1122
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.014877 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collinsville Physical Therapy & Wellness, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Collinsville, IL
- NPI 1205033081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1760640544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 LANTER CT",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622346124",
"telephone_number": "618-343-1122",
"fax_number": "618-343-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 LANTER CT",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622346124",
"telephone_number": "618-343-1122",
"fax_number": "618-343-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSERT",
"first_name": "WILLIAM",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.014877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collinsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.