Active NPI
Jarrett Weaner
- Physical Therapist
- Shrewsbury, MA
National Provider Identifier
1205445459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24888
- Practice address
- 280 Boston Tpke
Shrewsbury, MA 01545-2640 - Phone
- (508) 753-7780
- NPI assigned
- Jul 23, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 24888 | MA | Primary |
Addresses
Primary practice location
280 Boston Tpke
Shrewsbury, MA 01545-2640
Mailing address
280 Boston Tpke
Shrewsbury, MA 01545-2640
Phone (508) 753-7780
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1205445459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 BOSTON TPKE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015452640",
"telephone_number": "508-753-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 BOSTON TPKE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015452640",
"telephone_number": "508-753-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEANER",
"first_name": "JARRETT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "24888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.