Active NPI
Jaclyn Weinle, PTA
- Physical Therapy Assistant
- Cincinnati, OH
National Provider Identifier
1376269753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA009979
- Practice address
- 6849 Beechmont Ave
Cincinnati, OH 45230-2993 - Phone
- (513) 608-6370
- NPI assigned
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A03308 | KY | |
| Physical Therapy Assistant | 225200000X | PTA009979 | OH | Primary |
Addresses
Primary practice location
6849 Beechmont Ave
Cincinnati, OH 45230-2993
Mailing address
8541 Saint Ives PL
Cincinnati, OH 45255-5641
Phone (513) 608-6370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA009979 | Other | OH | PTA LICENSE |
| A03308 | Other | KY | PTA LICENSE |
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 |
|---|---|---|---|
| A03308 | KY | MD | Physical Therapy Assistant |
| PTA009979 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1376269753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8541 SAINT IVES PL",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452555641",
"telephone_number": "513-608-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6849 BEECHMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452302993",
"telephone_number": "513-608-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINLE",
"first_name": "JACLYN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A03308",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA009979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LICENSE",
"identifier": "PTA009979",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LICENSE",
"identifier": "A03308",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.