Provider Demographics
NPI:1992689582
Name:THE WESTON GROUP INC
Entity type:Organization
Organization Name:THE WESTON GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KETAKI
Authorized Official - Middle Name:
Authorized Official - Last Name:DESHMUKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-438-2020
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:610-438-2020
Mailing Address - Fax:484-544-8639
Practice Address - Street 1:980 CHESTNUT LN
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28104-8543
Practice Address - Country:US
Practice Address - Phone:704-413-7643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty