Organization Active NPI

Martin D Weaver

  • Physical Rehabilitation Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1245534155
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
MD042968L Issued in PA
Legal business name
MARTIN D WEAVER
Practice address
21 S 12TH St
Ste 1000, Floor 10
Philadelphia, PA 19107-3614
Phone
(215) 545-5404
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Martin D Weaver
Title
Owner
Phone
(215) 545-5404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X MD042968L PA Primary

Addresses

Primary practice location

21 S 12TH St
Ste 1000, Floor 10
Philadelphia, PA 19107-3614

Mailing address

21 S 12TH St
Ste 1000, Floor 10
Philadelphia, PA 19107-3614

National Provider Directory

National Provider Directory

Locations

21 S 12th St
Ste 1000
Philadelphia, PA 19107
Phone (215) 545-5404

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1245534155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S 12TH ST",
            "address_2": "STE 1000, FLOOR 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S 12TH ST",
            "address_2": "STE 1000, FLOOR 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073614",
            "telephone_number": "215-545-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN D WEAVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-545-5404"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "PA",
            "license": "MD042968L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.