Daniel Cline Weaver, PT, RN

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

896 Issued in AK

Practice address

13004 Klawock-Hollis Hwy
Klawock, AK 99925

Phone

(907) 755-4800

Fax

(907) 755-4908

NPI assigned

Jan 29, 2007

Last updated

Aug 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Alaska Regional Health Consortium

  dba Thorne Bay Health Clinic

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1144376369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "CRAIG",
            "state": "AK",
            "postal_code": "999210515",
            "telephone_number": "907-826-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13004 KLAWOCK-HOLLIS HWY",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "99925",
            "telephone_number": "907-755-4800",
            "fax_number": "907-755-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DANIEL",
        "middle_name": "CLINE",
        "name_prefix": "Mr.",
        "credential": "PT, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AK",
            "license": "11232",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Di Ann Thain, RDH
• Sean Fred Tomkinson, LCSW
• Shalynn Tomkinson
• Carrie Urena, PHARMD, BCPS
• Daniella M Vasquez, RN
• Trina Lee Williamson, LPC
• Michael A Witsil, D.M.D.
• Kimberly Ann Wojtak, MA, LPC, NCC
• Nathan Yockey

• Physical Therapist in Klawock, AK
• Providers in Klawock, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.