Kayla Marie Thompson Weaver, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012490A Issued in IN

Practice address

5492 N Ronald Reagan Pkwy Ste 180
Brownsburg, IN 46112-5618

Phone

(317) 858-9400

NPI assigned

Dec 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kayla Marie Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1265947469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 GIPPER WAY W APT K",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461230145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5492 N RONALD REAGAN PKWY STE 180",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461125618",
            "telephone_number": "317-858-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KAYLA",
        "middle_name": "MARIE THOMPSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012490A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "THOMPSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natika L Washington, NP
• Ciera Wathen, RBT
• Jacob Watkins, PMHNP
• Christina Ann Watson
• Carlie Weaver
• Jada Weber, RBT
• Mindy Weber, RBT
• Molly Weber, RBT
• Christopher C Wehrle, O.D.
• Brandon Alan Weidner

• Physical Therapist in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.