Individual provider Active NPI

Kelsey Anne Weimer, DPT

  • Physical Therapist
  • Windber, PA
National Provider Identifier
1306364419
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026145 Issued in PA
Practice address
1304 Graham Ave
Windber, PA 15963-1708
Phone
(814) 509-6089
Fax
(888) 650-1005
NPI assigned
Sep 8, 2017
Last updated
Sep 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026145 PA Primary

Addresses

Primary practice location

1304 Graham Ave
Windber, PA 15963-1708

Mailing address

1407 Eisenhower Blvd Ste 104
Johnstown, PA 15904-3262
Phone (814) 269-1494

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT026145PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stroz Physical Therapy & Sports Rehab, P.C. Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1306364419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 EISENHOWER BLVD STE 104",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043262",
            "telephone_number": "814-269-1494",
            "fax_number": "814-266-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 GRAHAM AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631708",
            "telephone_number": "814-509-6089",
            "fax_number": "888-650-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIMER",
        "first_name": "KELSEY",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windber, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.