Active NPI
Joseph D Weaver
- Speech-Language Assistant
- Elsa, TX
National Provider Identifier
1366688251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 34640
- Practice address
- 205 W Edinburg Ave
Elsa, TX 78543-1769 - Phone
- (956) 262-1037
- Fax
- (956) 262-7756
- NPI assigned
- Dec 23, 2008
- Last updated
- Dec 23, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 34640 | TX | Primary |
Addresses
Primary practice location
205 W Edinburg Ave
Elsa, TX 78543-1769
Mailing address
120 W Jones St
Pharr, TX 78577-5336
Phone (956) 783-5318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183477202 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34640 | TX | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elsa Therapy & Wellness Center, Inc. | Speech-Language Assistant | 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.
-
dba Jump Start Therapy & Medical Clinic
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Elsa, TX
- NPI 1780619031
Speech-Language Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1366688251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W JONES ST",
"city": "PHARR",
"state": "TX",
"postal_code": "785775336",
"telephone_number": "956-783-5318",
"fax_number": "956-262-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W EDINBURG AVE",
"city": "ELSA",
"state": "TX",
"postal_code": "785431769",
"telephone_number": "956-262-1037",
"fax_number": "956-262-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JOSEPH",
"middle_name": "D",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-23",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "34640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183477202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elsa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.