Active NPI
Lisa M Weaver, PTA
- Physical Therapy Assistant
- Clearwater, FL
National Provider Identifier
1427567973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 19228
- Practice address
- 3301 N McMullen Booth Rd
Clearwater, FL 33761-2014 - Phone
- (727) 785-8335
- NPI assigned
- Sep 28, 2017
- 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 Therapy Assistant | 225200000X | 19228 | FL | Primary |
Addresses
Primary practice location
3301 N McMullen Booth Rd
Clearwater, FL 33761-2014
Mailing address
724 Barbara St
Palm Harbor, FL 34684-4604
Phone (727) 642-6670
Other names 1
- Lisa M Norris
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 |
|---|---|---|---|
| 19228 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1427567973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 BARBARA ST",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346844604",
"telephone_number": "727-642-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 N MCMULLEN BOOTH RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612014",
"telephone_number": "727-785-8335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "LISA",
"middle_name": "M",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "19228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "NORRIS",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.