Active NPI
Quintin Alexander Weaver
- Athletic Trainer
- Waynesburg, PA
National Provider Identifier
1114717147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 53 W Franklin St
Waynesburg, PA 15370 - Phone
- (724) 627-8191
- NPI assigned
- May 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
53 W Franklin St
Waynesburg, PA 15370
Mailing address
250 Stahlman Rd
Parker, PA 16049-5638
Phone (814) 473-6596
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": "1747008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1114717147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 STAHLMAN RD",
"city": "PARKER",
"state": "PA",
"postal_code": "160495638",
"telephone_number": "814-473-6596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 W FRANKLIN ST",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "15370",
"telephone_number": "724-627-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "QUINTIN",
"middle_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-12",
"last_updated": "2025-05-12",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waynesburg, PA
- Washington Physician Services Organization
- Waynesburg Adult Day Care, Inc.
- Waynesburg Chiropractic Clinic, Inc.
- Waynesburg Inpatient Services LLC
- Waynesburg PA Opco LLC
- Jane E Weinzierl, DMD
- West Greene School District
- WHS Behavioral Health-Greene
- WHS Family Medicine-Franklin
- WHS Family Medicine-Greene Plaza
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.