Brian Joseph Weeda, MS, PT, TPI

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006136 Issued in WA

Practice address

420 Ohio St
Bellingham, WA 98225-4637

Phone

(360) 714-0870

Fax

(360) 714-0872

NPI assigned

Jan 4, 2007

Last updated

Mar 9, 2023By 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 6

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy Inc PSGroup PAC ID 5597066589, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Physical Therapy, Inc. P.S.

  • Physical Therapist
  • Bellingham, WA
  • NPI 1124402292
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1972650083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 OHIO ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254637",
            "telephone_number": "360-714-0870",
            "fax_number": "360-714-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 OHIO ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254637",
            "telephone_number": "360-714-0870",
            "fax_number": "360-714-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEDA",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "credential": "MS, PT, TPI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "102764",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5017495",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650020464",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "15938",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8327652",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Webb
• Zachary Alan Webb, M.D.
• Holly Anne Weber, PSY.D.
• Anna Webster, SLP
• Stephanie Jean Wedgeworth, BA, SUDPT
• Chanudi Weerasinghe, M.D.
• Regina L Wei
• Tsao Te Wei, MD, MPH
• Ralph Eugene Weiche, MD
• Katrina Weigel

• Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.

Verify at the official NPI Registry.