Amy E Weller, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00633900 Issued in NJ

Practice address

1 East St
Suite 100
Annandale, NJ 08801-3075

Phone

(908) 730-6640

Fax

(908) 730-0468

NPI assigned

Aug 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proactivity Fitness Physical Therapy Associates

  dba Pro-Activity

  • Physical Therapist
  • Lebanon, NJ
  • NPI 1265038160
  Medicare reassignment NPD
• Neurowelld, LLC

  • Physical Therapist
  • Lebanon, NJ
  • NPI 1508698366
  NPD Authorized official

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083722441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROWN CT",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013409",
            "telephone_number": "908-730-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EAST ST",
            "address_2": "SUITE 100",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013075",
            "telephone_number": "908-730-6640",
            "fax_number": "908-730-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00633900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manish B Viradia, MD
• Vitality & Serenity Counseling LLC
• Caryssa Vitelli, M.S., OTR
• Tiffany Lynn Walck, APN-C
• Peter Jon Warren, MPT
• Deborah Wentz, RN
• Victoria P Width, PHD
• Wild Roots Counseling and Psychological Services LLC
• Breanua Janai Williams, PT, DPT
• Thoma H. Woo, M.D.

• Physical Therapist in Annandale, NJ
• Providers in Annandale, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.