Kyle Weaver

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004639 Issued in WV

Practice address

1400 VFW Pkwy
West Roxbury, MA 02132-4927

Phone

(617) 323-7700

NPI assigned

Aug 7, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Joint Ventures Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Boston, MA
  • NPI 1083667901

  Physical Therapist

  NPD
• Joint Ventures Physical Therapy, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cambridge, MA
  • NPI 1972149805
  NPD

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1326720582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 CHERRY ST UNIT 2",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024651642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324927",
            "telephone_number": "617-323-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "004639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine G Ware, MA, LMHC
• Keiran Warner, M.D.
• Washington Healthcare LLC
• Gabriella Antionette Watson, OD
• Ebony Weathers
• Wellspring Mentors LLC
• West Roxbury Dental Arts
• West Roxbury Modern Dentistry, PC
• Jennifer Lauren Weston, CCC-SLP
• Noah M Whiddon, LMSW

• Physical Therapist in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.