Individual provider Active NPI

Amber O'Neal Anson, PT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1235350083
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042356 Issued in NY
Practice address
700 Lac de Ville Blvd
Rochester, NY 14618-5665
Phone
(585) 385-6287
Fax
(585) 383-0033
NPI assigned
May 1, 2007
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT870726 DC
Physical Therapist 225100000X 22409 MD
Physical Therapist 225100000X 042356 NY Primary

Addresses

Primary practice location

700 Lac de Ville Blvd
Rochester, NY 14618-5665

Mailing address

700 Lac de Ville Blvd
Rochester, NY 14618-5665
Phone (585) 385-6287

Other practice location 1

1731 Bunker Hill Road, NE
Washington, DC 20017
Phone (202) 832-4400 ext. 6353

Other practice location 2

4500 Forbes Blvd
Lanham, MD 20706-6312
Phone (301) 560-3645

Other practice location 3

1057 E Henrietta Rd
Ste 500
Rochester, NY 14623
Phone (585) 427-2977

Other names 1

  • Miss Amber O'Neal Weaver Former name

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

LicenseStateTypeSpecialty
PT870726DCMDPhysical Therapist
22409MDMDPhysical Therapist
042356NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daystar for Medically Fragile Children, Inc CurrentSince Jan 26, 2022 Accepting new patients
Daystar Formedically Fragile Children, Inc PastSince Jan 26, 2022 Accepting new patients

Locations

700 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 385-6287

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1235350083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185665",
            "telephone_number": "585-385-6287",
            "fax_number": "585-427-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185665",
            "telephone_number": "585-385-6287",
            "fax_number": "585-383-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1731 Bunker Hill Road, NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20017",
            "country_code": "US",
            "telephone_number": "202-832-4400 x6353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Forbes Blvd",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207066312",
            "country_code": "US",
            "telephone_number": "301-560-3645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1057 E HENRIETTA RD",
            "address_2": "STE 500",
            "address_purpose": "LOCATION",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "country_code": "US",
            "telephone_number": "585-427-2977",
            "fax_number": "585-427-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSON",
        "first_name": "AMBER",
        "middle_name": "O'NEAL",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870726",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22409",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "WEAVER",
            "middle_name": "O'NEAL",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.