Matthew Locke Weston, PT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

62632 Issued in OR

Practice address

777 NW 19TH Ave Apt 107
Portland, OR 97209-1391

Phone

(860) 335-2543

NPI assigned

Aug 12, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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.

• Weston Sports Performance Rehabilitation LLC

  • Sports Physical Therapist
  • Portland, OR
  • NPI 1235778333

  Sports

  NPD Authorized official
• Integrated Rehabilitation Services Limited Partnership

  • Physical Therapist
  • Vernon, CT
  • NPI 1346969532
  NPD (past)
• Integrated Rehabilitation Services, LLC

  • Physical Therapist
  • Vernon, CT
  • NPI 1104867951
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1982850871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NW 19TH AVE APT 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091391",
            "telephone_number": "860-335-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NW 19TH AVE APT 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091391",
            "telephone_number": "860-335-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "MATTHEW",
        "middle_name": "LOCKE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008373",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OR",
            "license": "62632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Louise Westlin, MS, MED, NCC, LPC
• Weston Counseling and Wellness
• Weston Sports Performance Rehabilitation LLC
• Alice S Weston, M.D.
• Ashford Durham Weston, QMHP, LPC
• Ruth L Weston, RN
• Westover Dental Clinic
• Westover Heights Clinic
• Westside Internal Medicine
• Westside Internal Medicine

• All providers in Portland, OR
• Sports Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.