Active NPI
Andrew Michael Weiner, P.T
- Orthopedic Physical Therapist
- Brandon, FL
National Provider Identifier
1275849531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT29373
- Practice address
- 1121 Professional Park Dr
Brandon, FL 33511-4887 - Phone
- (813) 876-8771
- NPI assigned
- Aug 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 12761 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | PT29373 | FL | Primary |
Addresses
Primary practice location
1121 Professional Park Dr
Brandon, FL 33511-4887
Mailing address
1287 Brunell St
The Villages, FL 32163-2207
Phone (919) 648-3862
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12761 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Rehab Specialists Inc. | Past | Accepting new patients | |
| Motionworks Manual Physical Therapy, Incorporated | Past | 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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Pinellas Park, FL
- NPI 1730354283
-
- Physical Therapy Clinic/Center
- Goldsboro, NC
- NPI 1861471922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1275849531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1287 BRUNELL ST",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321632207",
"telephone_number": "919-648-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 PROFESSIONAL PARK DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114887",
"telephone_number": "813-876-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "P.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-25",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "12761",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT29373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.