Active NPI
Kanada Nicole Cheri Weigt, DPT
- Physical Therapist
- Elgin, SC
National Provider Identifier
1093434516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11543
- Practice address
- 385 Spears Creek Church Rd Ste B
Elgin, SC 29045-8446 - Phone
- (803) 929-4708
- NPI assigned
- Aug 26, 2022
- 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 | 11543 | SC | Primary |
Addresses
Primary practice location
385 Spears Creek Church Rd Ste B
Elgin, SC 29045-8446
Mailing address
PO Box 168
Crystal Springs, MS 39059-0168
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11543 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1093434516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 168",
"city": "CRYSTAL SPRINGS",
"state": "MS",
"postal_code": "390590168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 SPEARS CREEK CHURCH RD STE B",
"city": "ELGIN",
"state": "SC",
"postal_code": "290458446",
"telephone_number": "803-929-4708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIGT",
"first_name": "KANADA",
"middle_name": "NICOLE CHERI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.