Individual provider Active NPI

Cassie Lynn Weaver

  • Physical Therapist
  • Kenai, AK
National Provider Identifier
1184290884
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
508 Upland St
Kenai, AK 99611-8026
Phone
(907) 335-7500
NPI assigned
Jun 2, 2021
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 WV Primary

Addresses

Primary practice location

508 Upland St
Kenai, AK 99611-8026

Mailing address

413 Marlowe Cir
Morgantown, WV 26505-1138
Phone (304) 690-5126

Other practice location 1

1509 Fairmont Ave
Fairmont, WV 26554-2135
Phone (304) 363-0050

Other practice location 2

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

Other identifiers 1

IdentifierTypeStateIssuer
1754187MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, DE, CO, ID4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220824002886 WA Practitioner - Physical Therapist in Private Practice 7214311208 Reassigns benefits to 1 organization
I20230301000823 DE Practitioner - Physical Therapist in Private Practice 7214311208 Reassigns benefits to 1 organization
I20231103000505 CO Practitioner - Physical Therapist in Private Practice 7214311208
I20251031001493 ID Practitioner - Physical Therapist in Private Practice 7214311208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ieg Zenergy, LLCGroup PAC ID 9830477587, 7 clinicians

Practice addresses (Care Compare)

245 Raven Rd
Suite B
Ketchum, ID 83340
Phone (208) 726-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ieg Zenergy, LLC Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients
Multicare Health System CurrentSince Aug 3, 2022 Accepting new patients
Syracuse Physical Therapy Partners Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
Zenergy Partners LLC Physical Therapist CurrentSince Dec 13, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Aug 3, 2022 Accepting new patients
Country Roads Physical Therapy and Rehabilitation Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients

Locations

26744 John J Williams Hwy
Millsboro, DE 19966
Phone (302) 945-4250

26744 John J Williams Hwy
Unit 6
Millsboro, DE 19966
Phone (302) 945-4250

38069 Town Center Dr
Unit 15
Millville, DE 19967
Phone (302) 539-3110

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

407 E Main St
Auburn, WA 98002
Phone (253) 545-0044

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1509 Fairmont Ave
Fairmont, WV 26554
Phone (304) 363-0050

2600 Middletown Cmns
Ste 260
White Hall, WV 26554
Phone (304) 816-3169

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1184290884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 MARLOWE CIR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051138",
            "telephone_number": "304-690-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UPLAND ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118026",
            "telephone_number": "907-335-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 Fairmont Ave",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265542135",
            "country_code": "US",
            "telephone_number": "304-363-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "CASSIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1754187",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.