Ilyza Brienne Weiss, PT, DPT, CERT. MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01292200 Issued in NJ

Practice address

631 Windflower CT
Morganville, NJ 07751-1772

Phone

(304) 685-4399

NPI assigned

Jun 29, 2010

Sex

Female

Sole proprietor

Yes

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.

• Ibw Physical Therapy LLC

  • Physical Therapist
  • Morganville, NJ
  • NPI 1184493900

  Single Specialty

  NPD Authorized official
• Kids in Shape Physical Therapy LLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1578758066

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1033420518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 WINDFLOWER CT",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511772",
            "telephone_number": "304-685-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 WINDFLOWER CT",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511772",
            "telephone_number": "304-685-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ILYZA",
        "middle_name": "BRIENNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CERT. MDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030505-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01292200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vida Holistic Wellness Studio LLC
• Vytaliz Medical
• Jody Patrice Walch, PHARMD
• Nicole Wegweiser, LCSW
• Matthew Weingarten, MD
• Weissman & Kroll LLC
• Irina Weissman
• Lawrence I Weissman, MD
• Wellness Advantage LLC
• Chelsie Winston, M.S., LAC, NCC

• Physical Therapist in Morganville, NJ
• Providers in Morganville, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.