Organization Active NPI

Weiss Physical Therapy Associates

  • Physical Therapy Clinic/Center
  • Mechanicsburg, PA
National Provider Identifier
1295912822
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT016114-L Issued in PA
Legal business name
WEISS PHYSICAL THERAPY ASSOCIATES
Practice address
1700 Bent Creek Blvd
Suite 120
Mechanicsburg, PA 17050-1870
Phone
(717) 697-4000
Fax
(717) 697-4004
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
John T Weiss, DPTNPI 1811997091
Title
Owner
Phone
(717) 697-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT016114-L PA Primary

Addresses

Primary practice location

1700 Bent Creek Blvd
Suite 120
Mechanicsburg, PA 17050-1870

Mailing address

601 E Simpson St
Mechanicsburg, PA 17055-3456
Phone (717) 691-7100

Other identifiers 1

IdentifierTypeStateIssuer
1811997091OtherPAINDIVIDUAL NPI

Other names 1

  • Weiss Physical Therapy Associates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080707000710 PA Part B Supplier - Clinic/Group Practice 8729150834 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsburg, PA

National Provider Directory

National Provider Directory

Locations

1700 Bent Creek Blvd
Ste 120
Mechanicsburg, PA 17050
Phone (717) 697-4000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1295912822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SIMPSON ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170553456",
            "telephone_number": "717-691-7100",
            "fax_number": "717-691-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BENT CREEK BLVD",
            "address_2": "SUITE 120",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501870",
            "telephone_number": "717-697-4000",
            "fax_number": "717-697-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-697-4000",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT016114-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1811997091",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weiss Physical Therapy Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.