Individual provider Active NPI

Rebecca L Weaver, DPT

  • Physical Therapist
  • Reston, VA
National Provider Identifier
1104998384
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204624 Issued in VA
Practice address
1760 Reston Pkwy
Suite 403
Reston, VA 20190-3388
Phone
(703) 230-1760
Fax
(703) 230-1761
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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 2305204624 VA Primary

Addresses

Primary practice location

1760 Reston Pkwy
Suite 403
Reston, VA 20190-3388

Mailing address

1760 Reston Pkwy
Suite 403
Reston, VA 20190-3388
Phone (703) 230-1760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081125000795 DC Practitioner - Physical Therapist in Private Practice 2860552544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodies in Motion Physical Therapy II, LLCGroup PAC ID 9830296367, 11 clinicians

Practice addresses (Care Compare)

1760 Reston Pkwy
Suite 403
Reston, VA 20190-3360
Phone (703) 230-1760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305204624VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodies in Motion Physical Therapy II, LLC Physical Therapist CurrentSince Mar 1, 2010 Accepting new patients
Bodies in Motion Physical Therapy, LLC Physical Therapist PastSince Aug 10, 2006 Accepting new patients

Locations

1760 Reston Pkwy
Ste 403
Reston, VA 20190
Phone (703) 230-1760

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1104998384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY",
            "address_2": "SUITE 403",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903388",
            "telephone_number": "703-230-1760",
            "fax_number": "703-230-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY",
            "address_2": "SUITE 403",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903388",
            "telephone_number": "703-230-1760",
            "fax_number": "703-230-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.