Individual provider Active NPI

Jessica Marie Weimert, PT, DPT

  • Physical Therapist
  • Prince Frederick, MD
National Provider Identifier
1104331529
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27777 Issued in MD
Practice address
70 Sherry LN Ste 203
Prince Frederick, MD 20678-3282
Phone
(410) 535-9087
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27777 MD Primary

Addresses

Primary practice location

70 Sherry LN Ste 203
Prince Frederick, MD 20678-3282

Mailing address

110 Hospital Rd Ste 201
Prince Frederick, MD 20678-4045
Phone (410) 535-9087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711002889 MD Practitioner - Physical Therapist in Private Practice 9436561172 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27777MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 11, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist CurrentSince Jun 11, 2022 Accepting new patients

Locations

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

70 Sherry Ln
Ste 203
Prnc Frederck, MD 20678
Phone (410) 414-9844

110 Hospital Rd
Ste 201
Prnc Frederck, MD 20678
Phone (410) 353-1343

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1104331529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784045",
            "telephone_number": "410-535-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SHERRY LN STE 203",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783282",
            "telephone_number": "410-535-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIMERT",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.