Active NPI
Ann Weissman, P.T.
- Specialist
- Ridgewood, NJ
National Provider Identifier
1467455840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 40QA00804100
- Practice address
- 85 S Maple Ave
Ridgewood, NJ 07450-4561 - Phone
- (201) 445-2830
- Fax
- (201) 445-7471
- NPI assigned
- May 31, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 40QA00804100 | NJ | Primary |
Addresses
Primary practice location
85 S Maple Ave
Ridgewood, NJ 07450-4561
Mailing address
85 S Maple Ave
Ridgewood, NJ 07450-4561
Phone (201) 445-2830
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 |
|---|---|---|---|
| 40QA00804100 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodywise Physical Therapy PLLC | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- New York, NY
- NPI 1083673891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1467455840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 S MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504561",
"telephone_number": "201-445-2830",
"fax_number": "201-445-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 S MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504561",
"telephone_number": "201-445-2830",
"fax_number": "201-445-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSMAN",
"first_name": "ANN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "40QA00804100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.