Individual provider Active NPI

Jodi Jacene Weitner, D.P.T.

  • Pediatric Physical Therapist
  • Totowa, NJ
National Provider Identifier
1184897605
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
40QA00987200 Issued in NJ
Practice address
265 Rte 46
Ste 102
Totowa, NJ 07512-1820
Phone
(973) 628-1300
NPI assigned
Apr 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 40QA00987200 NJ Primary

Addresses

Primary practice location

265 Rte 46
Ste 102
Totowa, NJ 07512-1820

Mailing address

70 Michael Dr
Wayne, NJ 07470-3464
Phone (973) 694-3264

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

State licenses

LicenseStateTypeSpecialty
40QA00987200NJMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Step at a Time PT LLC CurrentSince Feb 6, 2022 Accepting new patients
Prny, PC PastSince Feb 10, 2024 Accepting new patients

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, 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": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1184897605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MICHAEL DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703464",
            "telephone_number": "973-694-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 RTE 46",
            "address_2": "STE 102",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121820",
            "telephone_number": "973-628-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITNER",
        "first_name": "JODI",
        "middle_name": "JACENE",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA00987200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.