Individual provider Active NPI

Martin Weaver, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1396196101
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
ME141148 Issued in FL
Practice address
5400 N Federal Hwy Ste 102
Fort Lauderdale, FL 33308-3203
Phone
(954) 866-9699
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 86393 GA
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X ME141148 FL Primary

Addresses

Primary practice location

5400 N Federal Hwy Ste 102
Fort Lauderdale, FL 33308-3203

Mailing address

5400 N Federal Hwy Ste 102
Fort Lauderdale, FL 33308-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201222001681 GA Practitioner - Physical Medicine and Rehabilitation 0042634420 Reassigns benefits to 1 organization
I20211007000421 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 0042634420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
The Orthopaedic Institute, PAGroup PAC ID 2860385242, 113 clinicians

Practice addresses (Care Compare)

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

5400 N Federal Hwy
Suite 102 103 and 104
Ft Lauderdale, FL 33308-3203
Phone (954) 866-9699

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Dec 17, 2020 Accepting new patients
The Orthopaedic Institute, PA CurrentSince May 1, 2023 Accepting new patients
The Orthopaedic Institute PA CurrentSince May 1, 2023 Accepting new patients

Locations

5400 N Federal Hwy
Ste 102103
Fort Lauderdale, FL 33308
Phone (954) 866-9699

5400 N Federal Hwy
Ste 102
Ft Lauderdale, FL 33308
Phone (954) 771-8772

146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

Interoperability endpoints

  • Direct secure messaging: mweaver@ocp.emadirect.md

Organizations & group practices 3

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1396196101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 N FEDERAL HWY STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N FEDERAL HWY STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083203",
            "telephone_number": "954-866-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "86393",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "ME141148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.