Active NPI
Cierra Weaver
- Physical Therapy Assistant
- Hanover, PA
National Provider Identifier
1104596345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE010685
- Practice address
- 425 Westminster Ave
Hanover, PA 17331-9270 - Phone
- (717) 637-4166
- NPI assigned
- Sep 19, 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 Therapy Assistant | 225200000X | TE010685 | PA | Primary |
Addresses
Primary practice location
425 Westminster Ave
Hanover, PA 17331-9270
Mailing address
47 Sprenkle Ave
Hanover, PA 17331-2311
Phone (717) 676-2143
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE010685 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632009600000",
"number": "1104596345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 SPRENKLE AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173312311",
"telephone_number": "717-676-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 WESTMINSTER AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173319270",
"telephone_number": "717-637-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "CIERRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-19",
"last_updated": "2021-09-19",
"certification_date": "2021-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE010685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.