Active NPI
Tammy Weaver
- Physical Therapy Assistant
- Orlando, FL
National Provider Identifier
1093825515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 9500 Satellite Blvd
Ste 100
Orlando, FL 32837-8464 - Phone
- (407) 859-5656
- NPI assigned
- Aug 30, 2006
- 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 Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
9500 Satellite Blvd
Ste 100
Orlando, FL 32837-8464
Mailing address
7019 Villa Estelle Dr
Orlando, FL 32819-5247
Phone (904) 716-4459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA14022 | Other | FL | LICENSE# |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1093825515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7019 VILLA ESTELLE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195247",
"telephone_number": "904-716-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 SATELLITE BLVD",
"address_2": "STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328378464",
"telephone_number": "407-859-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "TAMMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "PTA14022",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.