Active NPI
Jamie Lee Weaver, DPT
- Physical Therapist
- Bella Vista, AR
National Provider Identifier
1043808512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 9 Cunningham Cor
Bella Vista, AR 72714-3520 - Phone
- (479) 855-6814
- Fax
- (479) 855-6828
- NPI assigned
- Jan 9, 2021
- Last updated
- Jan 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
9 Cunningham Cor
Bella Vista, AR 72714-3520
Mailing address
1350 S Gutensohn Rd Ste 10
Springdale, AR 72762-5210
Phone (479) 751-7122
Other names 1
- Jamie Lee Sammer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
Locations
9 Cunningham Cor
Bella Vista, AR 72714
Phone (479) 855-6814
1350 S Gutensohn Rd
Ste 10
Springdale, AR 72762
Phone (479) 751-7122
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610150400000",
"number": "1043808512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 S GUTENSOHN RD STE 10",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727625210",
"telephone_number": "479-751-7122",
"fax_number": "479-751-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 CUNNINGHAM COR",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727143520",
"telephone_number": "479-855-6814",
"fax_number": "479-855-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JAMIE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-09",
"last_updated": "2021-01-09",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "SAMMER",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bella Vista, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.