Individual provider Active NPI

Jonathan Weaver, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1346171634
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1408376 Issued in TX
Practice address
9660 Bartlett Cir Ste 708
Fort Worth, TX 76108-4465
Phone
(817) 862-9665
NPI assigned
May 26, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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 1408376 TX Primary

Addresses

Primary practice location

9660 Bartlett Cir Ste 708
Fort Worth, TX 76108-4465

Mailing address

10128 Conover Commons Cir
Fort Worth, TX 76108-2381

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260614000025 TX Practitioner - Physical Therapist in Private Practice 5496227100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonnette Elite Physical Therapy and WellnessGroup PAC ID 1759671399, 12 clinicians

Practice addresses (Care Compare)

9660 Bartlett Cir
Suite 708
Ft Worth, TX 76108-4465
Phone (817) 862-9665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1408376TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bonnette Elite Physical Therapy and Wellness Physical Therapist CurrentSince Jun 4, 2026 Accepting new patients

Locations

9660 Bartlett Cir
Ste 708
Ft Worth, TX 76108
Phone (817) 862-9665

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1346171634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10128 CONOVER COMMONS CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761082381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 BARTLETT CIR STE 708",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084465",
            "telephone_number": "817-862-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JONATHAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1408376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.