MR. ERIC DEAN WEATHERLY DPT
NPI 1649555988
Specialist in Bastrop, LA

Active since October 19, 2011
3867 BAYOU ACRES DR, BASTROP, LA 71220(318) 283-2080(318) 283-0606 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Eric Dean Weatherly Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ERIC DEAN WEATHERLY DPT (NPI 1649555988) is an individual specialist in Bastrop, Louisiana, licensed in Louisiana (07702) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1649555988
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. ERIC DEAN WEATHERLYCredential: DPT
Location Address3867 BAYOU ACRES DRBastrop, LA 71220-9232
Mailing Address3700 Old Shed Rd Ste 7Bossier City, LA 71111-2820 · (318) 417-0108 · Fax (318) 283-0606
Fax(318) 283-0606
Sole ProprietorYes
Enumeration DateOctober 19, 2011
Last NPPES UpdateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
NPI 1649555988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in LA · 07702
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPhysical TherapistTaxonomy 225100000X
3867 BAYOU ACRES DR, Bastrop, LA 71220

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
3867 BAYOU ACRES DR
BASTROP, LA 71220
Specialist
3867 BAYOU ACRES DR
BASTROP, LA 71220
Specialist
3867 BAYOU ACRES DR
BASTROP, LA 71220
Physical Therapist
3867 BAYOU ACRES DR
BASTROP, LA 71220
Physical Therapy Assistant
3867 BAYOU ACRES DR
BASTROP, LA 71220
Specialist
3867 BAYOU ACRES DR
BASTROP, LA 71220
Specialist
3867 BAYOU ACRES DR
BASTROP, LA 71220
Speech-Language Pathologist
3867 BAYOU ACRES DR
BASTROP, LA 71220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Weatherly's NPI number?

The NPI number for Eric Weatherly is 1649555988. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Where is Eric Weatherly located?

Eric Weatherly practices at 3867 Bayou Acres Dr, Bastrop, LA 71220. The listed phone number is (318) 283-2080.

What is Eric Weatherly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Eric Weatherly was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.