Active NPI
Randi Evans Weiss, PT
- Physical Therapist
- Pittsburgh, PA
National Provider Identifier
1164492278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006201L
- Practice address
- 1417 Wightman St
Pittsburgh, PA 15217-1240 - Phone
- (412) 760-0883
- NPI assigned
- Jan 23, 2006
- Last updated
- May 19, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006201L | PA | Primary |
Addresses
Primary practice location
1417 Wightman St
Pittsburgh, PA 15217-1240
Mailing address
129 Calmont Dr
Pittsburgh, PA 15235-5202
Phone (412) 849-2092
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 718329 | Other | PA | HIGHMARK |
| 7832382 | Other | PA | AETNA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006201L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1164492278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 CALMONT DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152355202",
"telephone_number": "412-849-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 WIGHTMAN ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171240",
"telephone_number": "412-760-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "RANDI",
"middle_name": "EVANS",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006201L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "718329",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7832382",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.