Active NPI
Carol A Weitkunat, P.T.
- Physical Therapist
- Prescott Valley, AZ
National Provider Identifier
1417907684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3534
- Practice address
- 2485 N Great Western Dr
Suite F2
Prescott Valley, AZ 86314-6528 - Phone
- (928) 775-2765
- Fax
- (928) 772-9170
- NPI assigned
- May 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3534 | AZ | Primary |
Addresses
Primary practice location
2485 N Great Western Dr
Suite F2
Prescott Valley, AZ 86314-6528
Mailing address
2485 N Great Western Dr
Suite F2
Prescott Valley, AZ 86314-6528
Phone (520) 249-6858
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3534 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Care Physical Therapy PLLC | Past | Accepting new patients | |
| Northern Arizona Orthosports Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Chino Valley, AZ
- NPI 1285769034
-
- Physical Therapist
- Prescott Valley, AZ
- NPI 1922084243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417907684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 N GREAT WESTERN DR",
"address_2": "SUITE F2",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863146528",
"telephone_number": "520-249-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 N GREAT WESTERN DR",
"address_2": "SUITE F2",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863146528",
"telephone_number": "928-775-2765",
"fax_number": "928-772-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITKUNAT",
"first_name": "CAROL",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.