Active NPI
Amy Stanley Weaver, PT
- Physical Therapist
- Waxhaw, NC
National Provider Identifier
1376623058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6270
- Practice address
- 3045 Scottcrest Way
Waxhaw, NC 28173-7461 - Phone
- (704) 843-7243
- Fax
- (704) 973-0775
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6270 | NC | Primary |
Addresses
Primary practice location
3045 Scottcrest Way
Waxhaw, NC 28173-7461
Mailing address
3045 Scottcrest Way
Waxhaw, NC 28173-7461
Phone (704) 843-7243
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376623058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 SCOTTCREST WAY",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281737461",
"telephone_number": "704-843-7243",
"fax_number": "704-973-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 SCOTTCREST WAY",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281737461",
"telephone_number": "704-843-7243",
"fax_number": "704-973-0775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "AMY",
"middle_name": "STANLEY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.